Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.50 / $1,278.00 / $5,430.00	Facility		$745.50	$1,278.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.90 / $465.18 / $840.78	Professional		$421.90	$465.18	$840.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,339.11 / $5,098.88 / $10,210.50	Facility		$2,339.11	$5,098.88	$10,210.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.59 / $787.68 / $801.10	Professional		$582.59	$787.68	$801.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $587.00 / $908.00	Facility		$400.00	$587.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.38 / $635.66 / $976.79	Professional		$438.38	$635.66	$976.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $484.58 / $745.50 / $2,053.44	Professional		$484.58	$745.50	$2,053.44
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 $539.85 / $570.09 / $626.37	Professional		$539.85	$570.09	$626.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $708.28	Professional		$32.34	$32.34	$708.28
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.99 / $628.03 / $1,007.62	Professional		$443.99	$628.03	$1,007.62