Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,379.00 / $5,389.00	Facility		$630.00	$1,379.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.41 / $476.64 / $886.78	Professional		$465.41	$476.64	$886.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,441.42 / $7,270.59 / $13,042.30	Facility		$3,441.42	$7,270.59	$13,042.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $976.84 / $976.84 / $976.84	Professional		$976.84	$976.84	$976.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.00 / $661.17 / $1,037.36	Professional		$497.00	$661.17	$1,037.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $494.77 / $769.14 / $1,973.97	Professional		$494.77	$769.14	$1,973.97
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 $543.11 / $584.73 / $634.02	Professional		$543.11	$584.73	$634.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $731.57	Professional		$32.34	$32.34	$731.57
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.77 / $679.35 / $1,053.44	Professional		$485.77	$679.35	$1,053.44