Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.81 / $1,990.00 / $5,549.00	Facility		$339.81	$1,990.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.57 / $339.81 / $536.63	Professional		$246.57	$339.81	$536.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.86 / $2,577.92 / $5,622.80	Facility		$754.86	$2,577.92	$5,622.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.92 / $439.19 / $536.16	Professional		$281.92	$439.19	$536.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $378.40 / $587.61	Professional		$264.27	$378.40	$587.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $247.42 / $422.15 / $1,215.17	Professional		$247.42	$422.15	$1,215.17
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 $296.52 / $302.20 / $402.05	Professional		$296.52	$302.20	$402.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $454.63	Professional		$32.34	$32.34	$454.63
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,905.00 / $4,342.00	Facility		$553.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.70 / $390.72 / $663.46	Professional		$302.70	$390.72	$663.46