Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $1,972.00 / $5,389.00	Facility		$676.00	$1,972.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.91 / $450.86 / $895.38	Professional		$379.91	$450.86	$895.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,185.08 / $4,833.68 / $10,542.86	Facility		$2,185.08	$4,833.68	$10,542.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.13 / $749.64 / $914.41	Professional		$542.13	$749.64	$914.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,631.14 / $1,820.98	Facility		$709.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.62 / $653.39 / $943.93	Professional		$434.62	$653.39	$943.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $508.19 / $762.32 / $2,024.68	Professional		$508.19	$762.32	$2,024.68
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 $534.48 / $566.29 / $629.19	Professional		$534.48	$566.29	$629.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $711.47	Professional		$32.34	$32.34	$711.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.63 / $572.82 / $970.23	Professional		$416.63	$572.82	$970.23