Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.31 / $1,568.00 / $5,665.00	Facility		$361.31	$1,568.00	$5,665.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.93 / $361.31 / $672.92	Professional		$227.93	$361.31	$672.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,640.32 / $3,788.99 / $5,726.55	Facility		$1,640.32	$3,788.99	$5,726.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.12 / $463.58 / $699.70	Professional		$300.12	$463.58	$699.70
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 $268.52 / $431.38 / $719.15	Professional		$268.52	$431.38	$719.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $308.13 / $562.86 / $1,057.08	Professional		$308.13	$562.86	$1,057.08
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 $306.89 / $315.27 / $538.03	Professional		$306.89	$315.27	$538.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $620.80	Professional		$32.34	$32.34	$620.80
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.39 / $578.41 / $842.10	Professional		$388.39	$578.41	$842.10