Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.42 / $2,800.00 / $6,614.00	Facility		$773.42	$2,800.00	$6,614.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.80 / $511.96 / $933.40	Professional		$441.80	$511.96	$933.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,116.95 / $5,958.88 / $11,942.76	Facility		$3,116.95	$5,958.88	$11,942.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.26 / $847.06 / $934.42	Professional		$568.26	$847.06	$934.42
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 $450.69 / $646.21 / $925.94	Professional		$450.69	$646.21	$925.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $483.67 / $751.89 / $2,109.19	Professional		$483.67	$751.89	$2,109.19
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 $541.17 / $571.61 / $622.27	Professional		$541.17	$571.61	$622.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $718.01	Professional		$32.34	$32.34	$718.01
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 $471.69 / $651.30 / $1,216.77	Professional		$471.69	$651.30	$1,216.77