Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,159.00 / $4,634.00	Facility		$438.00	$1,159.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.75 / $392.54 / $666.50	Professional		$291.75	$392.54	$666.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $608.67 / $1,523.41 / $5,755.57	Facility		$608.67	$1,523.41	$5,755.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.69 / $449.85 / $673.16	Professional		$342.69	$449.85	$673.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $480.00 / $1,000.00	Facility		$300.00	$480.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.86 / $472.84 / $822.02	Professional		$318.86	$472.84	$822.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.20 / $574.91 / $1,959.49	Professional		$363.20	$574.91	$1,959.49
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 $365.33 / $373.70 / $534.52	Professional		$365.33	$373.70	$534.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $559.19	Professional		$32.34	$32.34	$559.19
United Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $770.00 / $3,357.00	Facility		$210.00	$770.00	$3,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.66 / $540.16 / $924.17	Professional		$395.66	$540.16	$924.17