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 $329.83 / $417.26 / $716.96	Professional		$329.83	$417.26	$716.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $4,473.31 / $9,756.86	Facility		$330.07	$4,473.31	$9,756.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.05 / $696.98 / $935.77	Professional		$504.05	$696.98	$935.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $280.07 / $643.00	Facility		$250.87	$280.07	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.57 / $607.50 / $855.00	Professional		$398.57	$607.50	$855.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $490.36 / $706.30 / $1,421.62	Professional		$490.36	$706.30	$1,421.62
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 $494.65 / $524.67 / $646.52	Professional		$494.65	$524.67	$646.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $731.06	Professional		$32.34	$32.34	$731.06
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 $366.96 / $500.62 / $853.97	Professional		$366.96	$500.62	$853.97