Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.00 / $1,785.00 / $5,393.00	Facility		$537.00	$1,785.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.88 / $425.86 / $765.43	Professional		$286.88	$425.86	$765.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $3,219.43 / $7,021.98	Facility		$549.75	$3,219.43	$7,021.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.49 / $611.79 / $863.33	Professional		$423.49	$611.79	$863.33
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 $375.71 / $534.99 / $862.30	Professional		$375.71	$534.99	$862.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $415.89 / $712.00 / $2,653.18	Professional		$415.89	$712.00	$2,653.18
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 $406.50 / $444.03 / $696.27	Professional		$406.50	$444.03	$696.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $803.39	Professional		$32.34	$32.34	$803.39
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.56 / $597.42 / $1,098.13	Professional		$393.56	$597.42	$1,098.13