Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,325.00 / $5,549.00	Facility		$813.00	$2,325.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.96 / $468.04 / $830.58	Professional		$381.96	$468.04	$830.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,865.62 / $6,129.68 / $12,274.68	Facility		$2,865.62	$6,129.68	$12,274.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.48 / $560.48 / $936.30	Professional		$560.48	$560.48	$936.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.33 / $669.06 / $952.00	Professional		$466.33	$669.06	$952.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $530.79 / $765.58 / $1,896.10	Professional		$530.79	$765.58	$1,896.10
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 $524.13 / $579.85 / $650.49	Professional		$524.13	$579.85	$650.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $735.56	Professional		$32.34	$32.34	$735.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.29 / $596.53 / $994.01	Professional		$437.29	$596.53	$994.01