Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $2,118.00 / $5,549.00	Facility		$676.00	$2,118.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.36 / $489.42 / $771.38	Professional		$410.36	$489.42	$771.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,666.53 / $5,007.64 / $8,299.64	Facility		$2,666.53	$5,007.64	$8,299.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.30 / $580.94 / $845.02	Professional		$490.30	$580.94	$845.02
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 $434.96 / $612.80 / $896.05	Professional		$434.96	$612.80	$896.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $417.18 / $669.71 / $1,906.95	Professional		$417.18	$669.71	$1,906.95
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 $451.95 / $509.41 / $569.04	Professional		$451.95	$509.41	$569.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $643.45	Professional		$32.34	$32.34	$643.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.97 / $626.17 / $1,006.38	Professional		$429.97	$626.17	$1,006.38