Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,486.00 / $4,634.00	Facility		$600.00	$1,486.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.36 / $455.09 / $934.22	Professional		$387.36	$455.09	$934.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,118.73 / $4,669.89 / $10,185.62	Facility		$2,118.73	$4,669.89	$10,185.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.74 / $725.60 / $960.77	Professional		$524.74	$725.60	$960.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,631.14 / $1,820.98	Facility		$620.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.86 / $632.44 / $925.27	Professional		$415.86	$632.44	$925.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $482.63 / $735.40 / $1,997.56	Professional		$482.63	$735.40	$1,997.56
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 $516.69 / $546.29 / $663.65	Professional		$516.69	$546.29	$663.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $750.44	Professional		$32.34	$32.34	$750.44
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,753.68	Facility		$165.00	$1,032.00	$3,753.68
United Facility/Professional Professional Modifier Low / Median / High Price $423.30 / $575.21 / $997.71	Professional		$423.30	$575.21	$997.71