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 $354.52 / $412.36 / $755.06	Professional		$354.52	$412.36	$755.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,118.73 / $4,386.39 / $9,567.28	Facility		$2,118.73	$4,386.39	$9,567.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.39 / $679.47 / $906.28	Professional		$491.39	$679.47	$906.28
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 $377.15 / $592.24 / $856.86	Professional		$377.15	$592.24	$856.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $444.86 / $688.94 / $1,332.88	Professional		$444.86	$688.94	$1,332.88
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 $486.58 / $511.78 / $625.79	Professional		$486.58	$511.78	$625.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $707.63	Professional		$32.34	$32.34	$707.63
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,592.00	Facility		$165.00	$891.00	$3,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.36 / $521.36 / $908.45	Professional		$385.36	$521.36	$908.45