Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.00 / $1,972.00 / $5,389.00	Facility		$537.00	$1,972.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.31 / $344.70 / $648.79	Professional		$317.31	$344.70	$648.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,162.69 / $4,598.45 / $6,607.99	Facility		$2,162.69	$4,598.45	$6,607.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.49 / $457.05 / $595.11	Professional		$381.49	$457.05	$595.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.60 / $709.00 / $4,156.87	Facility		$378.60	$709.00	$4,156.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.31 / $489.53 / $787.54	Professional		$331.31	$489.53	$787.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $367.15 / $559.47 / $2,055.32	Professional		$367.15	$559.47	$2,055.32
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 $384.07 / $421.72 / $454.57	Professional		$384.07	$421.72	$454.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $514.01	Professional		$32.34	$32.34	$514.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,530.00 / $8,168.00	Facility		$1,172.00	$4,530.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.76 / $488.06 / $755.84	Professional		$331.76	$488.06	$755.84