Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.00 / $1,988.00 / $9,327.31	Facility		$735.00	$1,988.00	$9,327.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.09 / $490.75 / $884.33	Professional		$461.09	$490.75	$884.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,372.32 / $6,291.74 / $12,921.21	Facility		$3,372.32	$6,291.74	$12,921.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.35 / $896.37 / $1,053.78	Professional		$557.35	$896.37	$1,053.78
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 $492.84 / $652.37 / $936.29	Professional		$492.84	$652.37	$936.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $488.40 / $759.89 / $2,229.32	Professional		$488.40	$759.89	$2,229.32
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 $546.35 / $577.20 / $628.21	Professional		$546.35	$577.20	$628.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $724.86	Professional		$32.34	$32.34	$724.86
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 $486.68 / $703.08 / $1,022.44	Professional		$486.68	$703.08	$1,022.44