Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,169.00 / $4,634.00	Facility		$438.00	$1,169.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.55 / $370.97 / $675.19	Professional		$326.55	$370.97	$675.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $3,977.08 / $8,674.52	Facility		$330.07	$3,977.08	$8,674.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.59 / $618.91 / $809.89	Professional		$447.59	$618.91	$809.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $280.07 / $480.00	Facility		$250.87	$280.07	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.95 / $539.46 / $780.88	Professional		$354.95	$539.46	$780.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $408.01 / $621.88 / $1,474.59	Professional		$408.01	$621.88	$1,474.59
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 $442.59 / $465.91 / $559.48	Professional		$442.59	$465.91	$559.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $632.64	Professional		$32.34	$32.34	$632.64
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 $349.46 / $467.54 / $843.02	Professional		$349.46	$467.54	$843.02