Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,835.00 / $5,389.00	Facility		$720.00	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.67 / $552.19 / $814.35	Professional		$432.67	$552.19	$814.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,930.15 / $4,961.32 / $11,541.52	Facility		$1,930.15	$4,961.32	$11,541.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.80 / $822.91 / $882.90	Professional		$570.80	$822.91	$882.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.68 / $681.22 / $960.73	Professional		$441.68	$681.22	$960.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.91 / $772.05 / $1,917.83	Professional		$501.91	$772.05	$1,917.83
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 $581.78 / $593.16 / $655.99	Professional		$581.78	$593.16	$655.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $756.92	Professional		$32.34	$32.34	$756.92
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.38 / $644.94 / $1,203.66	Professional		$467.38	$644.94	$1,203.66