Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.10 / $2,118.00 / $5,405.00	Facility		$654.10	$2,118.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.32 / $353.14 / $659.18	Professional		$344.32	$353.14	$659.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,518.29 / $5,213.14 / $9,648.95	Facility		$2,518.29	$5,213.14	$9,648.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $787.90 / $787.90 / $787.90	Professional		$787.90	$787.90	$787.90
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 $368.49 / $488.49 / $707.24	Professional		$368.49	$488.49	$707.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $365.18 / $576.34 / $1,470.52	Professional		$365.18	$576.34	$1,470.52
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 $401.66 / $431.57 / $468.27	Professional		$401.66	$431.57	$468.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $540.32	Professional		$32.34	$32.34	$540.32
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 $369.38 / $489.79 / $775.54	Professional		$369.38	$489.79	$775.54