Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,758.00 / $5,580.00	Facility		$813.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.83 / $485.46 / $908.03	Professional		$473.83	$485.46	$908.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,465.52 / $6,363.64 / $13,278.32	Facility		$3,465.52	$6,363.64	$13,278.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.28 / $920.38 / $989.21	Professional		$572.28	$920.38	$989.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.57 / $669.85 / $961.21	Professional		$485.57	$669.85	$961.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.03 / $780.26 / $1,981.22	Professional		$501.03	$780.26	$1,981.22
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 $562.60 / $592.12 / $645.04	Professional		$562.60	$592.12	$645.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $744.29	Professional		$32.34	$32.34	$744.29
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.34 / $658.88 / $1,041.30	Professional		$497.34	$658.88	$1,041.30