Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $1,363.00 / $5,091.00	Facility		$688.00	$1,363.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.01 / $464.00 / $820.15	Professional		$419.01	$464.00	$820.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,903.11 / $4,638.24 / $8,880.42	Facility		$1,903.11	$4,638.24	$8,880.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.24 / $610.77 / $756.71	Professional		$511.24	$610.77	$756.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $500.00 / $2,713.32	Facility		$300.00	$500.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $607.46 / $929.50	Professional		$375.00	$607.46	$929.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $438.93 / $714.94 / $1,974.31	Professional		$438.93	$714.94	$1,974.31
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 $543.44 / $547.67 / $607.46	Professional		$543.44	$547.67	$607.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $686.90	Professional		$32.34	$32.34	$686.90
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.47 / $578.82 / $974.94	Professional		$420.47	$578.82	$974.94