Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.38 / $1,159.00 / $5,091.00	Facility		$428.38	$1,159.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.60 / $461.67 / $686.34	Professional		$365.60	$461.67	$686.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,788.44 / $4,182.87 / $8,371.58	Facility		$2,788.44	$4,182.87	$8,371.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.09 / $624.79 / $683.04	Professional		$420.09	$624.79	$683.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.33 / $506.31 / $747.79	Professional		$360.33	$506.31	$747.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.02 / $553.16 / $1,145.40	Professional		$345.02	$553.16	$1,145.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $442.33 / $448.53 / $511.65	Professional		$442.33	$448.53	$511.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $578.55	Professional		$32.34	$32.34	$578.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.11 / $467.23 / $831.08	Professional		$354.11	$467.23	$831.08