Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $2,268.00 / $7,123.00	Facility		$630.00	$2,268.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.22 / $469.44 / $908.30	Professional		$338.22	$469.44	$908.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,192.85 / $3,684.06 / $8,035.40	Facility		$2,192.85	$3,684.06	$8,035.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.24 / $645.41 / $915.09	Professional		$485.24	$645.41	$915.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.16 / $585.32 / $917.50	Professional		$336.16	$585.32	$917.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $447.69 / $761.74 / $2,096.52	Professional		$447.69	$761.74	$2,096.52
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 $481.51 / $507.29 / $739.12	Professional		$481.51	$507.29	$739.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $852.83	Professional		$32.34	$32.34	$852.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $2,685.00 / $5,026.00	Facility		$1,250.00	$2,685.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.24 / $628.94 / $1,094.17	Professional		$449.24	$628.94	$1,094.17