Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $5,389.00 / $9,548.00	Facility		$755.00	$5,389.00	$9,548.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $355.10 / $511.87	Professional		$298.27	$355.10	$511.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,571.66 / $3,361.84 / $6,732.08	Facility		$1,571.66	$3,361.84	$6,732.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.49 / $423.42 / $494.51	Professional		$316.49	$423.42	$494.51
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 $316.77 / $444.74 / $614.54	Professional		$316.77	$444.74	$614.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $313.92 / $488.00 / $1,445.08	Professional		$313.92	$488.00	$1,445.08
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 $319.32 / $370.99 / $414.75	Professional		$319.32	$370.99	$414.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $468.99	Professional		$32.34	$32.34	$468.99
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.95 / $399.04 / $702.46	Professional		$291.95	$399.04	$702.46