Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.11 / $1,835.00 / $5,389.00	Facility		$701.11	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.66 / $442.02 / $798.52	Professional		$428.66	$442.02	$798.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,135.12 / $5,993.63 / $12,012.40	Facility		$3,135.12	$5,993.63	$12,012.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.13 / $833.30 / $978.82	Professional		$518.13	$833.30	$978.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.78 / $606.47 / $868.91	Professional		$457.78	$606.47	$868.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $453.66 / $706.43 / $1,794.69	Professional		$453.66	$706.43	$1,794.69
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 $507.95 / $536.15 / $584.01	Professional		$507.95	$536.15	$584.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $673.86	Professional		$32.34	$32.34	$673.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,981.00	Facility		$1,690.00	$5,000.00	$8,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.29 / $611.86 / $947.43	Professional		$451.29	$611.86	$947.43