Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.88 / $1,842.00 / $6,664.00	Facility		$606.88	$1,842.00	$6,664.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.30 / $516.25 / $824.90	Professional		$392.30	$516.25	$824.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,441.42 / $6,995.03 / $10,993.54	Facility		$3,441.42	$6,995.03	$10,993.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.27 / $757.94 / $894.88	Professional		$471.27	$757.94	$894.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.53 / $572.05 / $996.05	Professional		$418.53	$572.05	$996.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $414.76 / $663.40 / $2,849.61	Professional		$414.76	$663.40	$2,849.61
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 $456.95 / $490.17 / $531.19	Professional		$456.95	$490.17	$531.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $612.91	Professional		$32.34	$32.34	$612.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $4,239.42 / $6,514.00	Facility		$1,165.00	$4,239.42	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.50 / $692.77 / $1,081.35	Professional		$420.50	$692.77	$1,081.35