Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,289.00 / $5,091.00	Facility		$463.00	$1,289.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.91 / $356.62 / $644.77	Professional		$302.91	$356.62	$644.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,118.73 / $3,823.28 / $8,339.04	Facility		$2,118.73	$3,823.28	$8,339.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.36 / $599.24 / $728.71	Professional		$433.36	$599.24	$728.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,631.14 / $1,820.98	Facility		$463.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.77 / $502.96 / $724.80	Professional		$306.77	$502.96	$724.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $381.85 / $593.61 / $1,472.33	Professional		$381.85	$593.61	$1,472.33
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 $443.30 / $451.28 / $502.96	Professional		$443.30	$451.28	$502.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $568.73	Professional		$32.34	$32.34	$568.73
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 $309.91 / $415.65 / $725.64	Professional		$309.91	$415.65	$725.64