Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,842.00 / $5,389.00	Facility		$600.00	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.04 / $399.79 / $697.92	Professional		$354.04	$399.79	$697.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,055.62 / $6,730.07 / $9,856.64	Facility		$4,055.62	$6,730.07	$9,856.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.18 / $674.03 / $741.57	Professional		$452.18	$674.03	$741.57
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 $341.30 / $514.21 / $732.09	Professional		$341.30	$514.21	$732.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $383.86 / $596.72 / $1,661.39	Professional		$383.86	$596.72	$1,661.39
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 $430.73 / $453.65 / $495.17	Professional		$430.73	$453.65	$495.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $571.35	Professional		$32.34	$32.34	$571.35
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 $379.17 / $512.97 / $975.92	Professional		$379.17	$512.97	$975.92