Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.54 / $1,207.00 / $5,091.00	Facility		$584.54	$1,207.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.04 / $600.79 / $923.18	Professional		$477.04	$600.79	$923.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.86 / $4,990.89 / $10,885.78	Facility		$754.86	$4,990.89	$10,885.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $545.98 / $846.50 / $925.08	Professional		$545.98	$846.50	$925.08
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 $462.51 / $672.10 / $982.01	Professional		$462.51	$672.10	$982.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $440.69 / $749.18 / $2,376.01	Professional		$440.69	$749.18	$2,376.01
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 $575.00 / $582.48 / $694.32	Professional		$575.00	$582.48	$694.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $785.11	Professional		$32.34	$32.34	$785.11
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 $480.40 / $627.50 / $1,106.67	Professional		$480.40	$627.50	$1,106.67