Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.69 / $1,842.00 / $5,389.00	Facility		$700.69	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.69 / $550.66 / $795.61	Professional		$436.69	$550.66	$795.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.70 / $4,586.58 / $10,003.91	Facility		$2,796.70	$4,586.58	$10,003.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.16 / $711.69 / $778.68	Professional		$502.16	$711.69	$778.68
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 $425.49 / $590.12 / $852.96	Professional		$425.49	$590.12	$852.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $397.11 / $666.86 / $2,059.75	Professional		$397.11	$666.86	$2,059.75
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 $528.33 / $535.82 / $582.79	Professional		$528.33	$535.82	$582.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $659.02	Professional		$32.34	$32.34	$659.02
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 $417.56 / $543.53 / $944.21	Professional		$417.56	$543.53	$944.21