Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,278.00 / $5,549.00	Facility		$630.00	$1,278.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.59 / $501.51 / $846.01	Professional		$253.59	$501.51	$846.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,594.25 / $8,324.91 / $11,469.87	Facility		$4,594.25	$8,324.91	$11,469.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.63 / $779.40 / $845.30	Professional		$540.63	$779.40	$845.30
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 $312.00 / $601.49 / $843.12	Professional		$312.00	$601.49	$843.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $420.05 / $720.80 / $1,535.71	Professional		$420.05	$720.80	$1,535.71
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 $524.78 / $567.91 / $621.30	Professional		$524.78	$567.91	$621.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $716.90	Professional		$32.34	$32.34	$716.90
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.89 / $503.95 / $1,012.11	Professional		$288.89	$503.95	$1,012.11