Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $1,758.00 / $5,389.00	Facility		$676.00	$1,758.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.98 / $549.80 / $943.09	Professional		$429.98	$549.80	$943.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.72 / $5,014.35 / $10,936.94	Facility		$700.72	$5,014.35	$10,936.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.41 / $922.65 / $1,130.32	Professional		$546.41	$922.65	$1,130.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $531.28 / $593.11 / $735.00	Facility		$531.28	$593.11	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.55 / $707.68 / $1,093.94	Professional		$411.55	$707.68	$1,093.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $476.56 / $833.98 / $2,402.21	Professional		$476.56	$833.98	$2,402.21
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 $574.99 / $578.73 / $774.41	Professional		$574.99	$578.73	$774.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $875.68	Professional		$32.34	$32.34	$875.68
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $508.68 / $707.82 / $1,223.08	Professional		$508.68	$707.82	$1,223.08