Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $2,095.00 / $5,393.00	Facility		$676.00	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.26 / $405.27 / $732.06	Professional		$328.26	$405.27	$732.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,250.88 / $9,476.70	Facility		$3,878.08	$5,250.88	$9,476.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.19 / $680.59 / $817.19	Professional		$492.19	$680.59	$817.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.34 / $583.94 / $834.88	Professional		$399.34	$583.94	$834.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $440.16 / $665.70 / $1,655.24	Professional		$440.16	$665.70	$1,655.24
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 $452.11 / $506.09 / $571.23	Professional		$452.11	$506.09	$571.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $645.92	Professional		$32.34	$32.34	$645.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.33 / $516.29 / $895.54	Professional		$373.33	$516.29	$895.54