Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.65 / $1,609.00 / $5,549.00	Facility		$557.65	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.90 / $557.65 / $889.42	Professional		$465.90	$557.65	$889.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,468.10 / $5,279.36 / $10,571.91	Facility		$2,468.10	$5,279.36	$10,571.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.51 / $662.40 / $827.63	Professional		$553.51	$662.40	$827.63
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 $493.63 / $698.36 / $1,167.19	Professional		$493.63	$698.36	$1,167.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $466.23 / $763.62 / $1,968.18	Professional		$466.23	$763.62	$1,968.18
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 $480.26 / $578.12 / $648.83	Professional		$480.26	$578.12	$648.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $733.68	Professional		$32.34	$32.34	$733.68
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 $452.15 / $689.04 / $1,125.33	Professional		$452.15	$689.04	$1,125.33