Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.49 / $1,609.00 / $5,549.00	Facility		$521.49	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.76 / $521.49 / $828.99	Professional		$437.76	$521.49	$828.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,308.06 / $4,937.04 / $9,886.42	Facility		$2,308.06	$4,937.04	$9,886.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.47 / $619.27 / $900.06	Professional		$517.47	$619.27	$900.06
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 $463.29 / $653.24 / $1,011.76	Professional		$463.29	$653.24	$1,011.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $440.26 / $713.72 / $1,955.94	Professional		$440.26	$713.72	$1,955.94
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 $463.59 / $542.59 / $606.58	Professional		$463.59	$542.59	$606.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $685.90	Professional		$32.34	$32.34	$685.90
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 $444.26 / $656.65 / $1,068.89	Professional		$444.26	$656.65	$1,068.89