Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.59 / $1,609.00 / $5,091.00	Facility		$515.59	$1,609.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.09 / $515.59 / $813.33	Professional		$407.09	$515.59	$813.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.70 / $4,517.39 / $9,287.54	Facility		$2,796.70	$4,517.39	$9,287.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.72 / $660.05 / $813.63	Professional		$465.72	$660.05	$813.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.85 / $589.22 / $863.60	Professional		$404.85	$589.22	$863.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $658.93 / $2,113.42	Professional		$378.23	$658.93	$2,113.42
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 $491.70 / $495.44 / $612.78	Professional		$491.70	$495.44	$612.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $692.91	Professional		$32.34	$32.34	$692.91
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 $431.38 / $556.12 / $965.58	Professional		$431.38	$556.12	$965.58