Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,731.00 / $5,091.00	Facility		$720.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.37 / $452.86 / $781.32	Professional		$363.37	$452.86	$781.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,409.27 / $2,320.63 / $8,767.52	Facility		$1,409.27	$2,320.63	$8,767.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.52 / $618.83 / $772.58	Professional		$516.52	$618.83	$772.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $643.00 / $1,300.00	Facility		$400.00	$643.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.74 / $610.00 / $893.00	Professional		$399.74	$610.00	$893.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $458.47 / $710.16 / $1,759.55	Professional		$458.47	$710.16	$1,759.55
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 $491.83 / $547.48 / $615.47	Professional		$491.83	$547.48	$615.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $695.96	Professional		$32.34	$32.34	$695.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,435.00 / $4,636.00	Facility		$1,000.00	$2,435.00	$4,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $394.62 / $543.23 / $971.51	Professional		$394.62	$543.23	$971.51