Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $1,225.00 / $5,091.00	Facility		$333.00	$1,225.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.49 / $390.50 / $652.29	Professional		$260.49	$390.50	$652.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,476.13 / $4,839.71 / $6,841.52	Facility		$2,476.13	$4,839.71	$6,841.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $408.57 / $515.62	Professional		$288.27	$408.57	$515.62
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 $282.01 / $421.76 / $789.45	Professional		$282.01	$421.76	$789.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $253.37 / $442.38 / $1,896.10	Professional		$253.37	$442.38	$1,896.10
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 $303.19 / $308.39 / $386.62	Professional		$303.19	$308.39	$386.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $437.18	Professional		$32.34	$32.34	$437.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.69 / $556.40 / $884.18	Professional		$302.69	$556.40	$884.18