Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.76 / $1,785.00 / $5,393.00	Facility		$542.76	$1,785.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.33 / $504.65 / $836.20	Professional		$323.33	$504.65	$836.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,788.44 / $3,915.39 / $7,444.14	Facility		$2,788.44	$3,915.39	$7,444.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.44 / $578.03 / $831.06	Professional		$374.44	$578.03	$831.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.20 / $528.17 / $841.98	Professional		$334.20	$528.17	$841.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $342.41 / $656.65 / $1,435.97	Professional		$342.41	$656.65	$1,435.97
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 $394.08 / $397.75 / $629.88	Professional		$394.08	$397.75	$629.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $712.24	Professional		$32.34	$32.34	$712.24
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 $375.18 / $544.67 / $1,003.14	Professional		$375.18	$544.67	$1,003.14