Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.40 / $1,609.00 / $5,091.00	Facility		$485.40	$1,609.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.64 / $489.60 / $767.10	Professional		$388.64	$489.60	$767.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.70 / $4,304.49 / $8,848.48	Facility		$2,796.70	$4,304.49	$8,848.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.88 / $687.83 / $767.53	Professional		$442.88	$687.83	$767.53
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 $404.13 / $553.54 / $825.81	Professional		$404.13	$553.54	$825.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $359.37 / $621.58 / $1,957.68	Professional		$359.37	$621.58	$1,957.68
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 $467.18 / $473.30 / $575.52	Professional		$467.18	$473.30	$575.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $650.78	Professional		$32.34	$32.34	$650.78
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 $402.36 / $516.72 / $941.90	Professional		$402.36	$516.72	$941.90