Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,731.00 / $5,091.00	Facility		$630.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.37 / $545.60 / $963.33	Professional		$433.37	$545.60	$963.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $5,849.33 / $12,758.14	Facility		$330.07	$5,849.33	$12,758.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.96 / $907.04 / $1,102.83	Professional		$655.96	$907.04	$1,102.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $280.07 / $643.00	Facility		$250.87	$280.07	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.35 / $761.31 / $1,068.14	Professional		$483.35	$761.31	$1,068.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $578.77 / $893.15 / $2,769.00	Professional		$578.77	$893.15	$2,769.00
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 $643.58 / $682.99 / $761.31	Professional		$643.58	$682.99	$761.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $860.86	Professional		$32.34	$32.34	$860.86
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 $460.85 / $632.33 / $1,150.58	Professional		$460.85	$632.33	$1,150.58