Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.79 / $1,609.00 / $5,091.00	Facility		$601.79	$1,609.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.57 / $601.79 / $948.32	Professional		$406.57	$601.79	$948.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,991.00 / $5,385.42 / $9,284.26	Facility		$3,991.00	$5,385.42	$9,284.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.73 / $658.64 / $933.21	Professional		$464.73	$658.64	$933.21
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 $405.91 / $601.25 / $976.63	Professional		$405.91	$601.25	$976.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $409.34 / $716.24 / $2,066.33	Professional		$409.34	$716.24	$2,066.33
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 $490.98 / $496.04 / $703.26	Professional		$490.98	$496.04	$703.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $795.23	Professional		$32.34	$32.34	$795.23
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 $483.33 / $633.34 / $1,122.68	Professional		$483.33	$633.34	$1,122.68