Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $2,074.00 / $5,580.00	Facility		$630.00	$2,074.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.87 / $553.98 / $985.07	Professional		$369.87	$553.98	$985.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,832.01 / $7,303.21 / $10,606.55	Facility		$3,832.01	$7,303.21	$10,606.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.05 / $690.48 / $952.30	Professional		$461.05	$690.48	$952.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.34 / $652.13 / $958.16	Professional		$448.34	$652.13	$958.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $507.67 / $762.83 / $1,658.47	Professional		$507.67	$762.83	$1,658.47
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 $471.41 / $488.31 / $699.78	Professional		$471.41	$488.31	$699.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $807.44	Professional		$32.34	$32.34	$807.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.39 / $813.06 / $1,350.08	Professional		$578.39	$813.06	$1,350.08