Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,620.00 / $5,389.00	Facility		$630.00	$1,620.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.20 / $500.18 / $797.45	Professional		$325.20	$500.18	$797.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,903.11 / $4,293.41 / $6,767.70	Facility		$1,903.11	$4,293.41	$6,767.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.10 / $599.90 / $897.16	Professional		$399.10	$599.90	$897.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $709.00 / $2,713.32	Facility		$450.00	$709.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.28 / $565.41 / $972.65	Professional		$370.28	$565.41	$972.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $440.34 / $749.22 / $1,382.73	Professional		$440.34	$749.22	$1,382.73
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 $422.90 / $434.19 / $715.55	Professional		$422.90	$434.19	$715.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $809.12	Professional		$32.34	$32.34	$809.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,116.00 / $3,624.00 / $6,195.00	Facility		$1,116.00	$3,624.00	$6,195.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.37 / $632.85 / $1,126.91	Professional		$469.37	$632.85	$1,126.91