Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,118.00 / $5,405.00	Facility		$711.00	$2,118.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.68 / $457.29 / $761.37	Professional		$386.68	$457.29	$761.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,816.48 / $5,723.33 / $10,791.49	Facility		$2,816.48	$5,723.33	$10,791.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.97 / $766.14 / $843.71	Professional		$513.97	$766.14	$843.71
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 $423.35 / $584.48 / $850.87	Professional		$423.35	$584.48	$850.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.72 / $680.04 / $1,781.81	Professional		$436.72	$680.04	$1,781.81
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 $489.71 / $516.13 / $562.84	Professional		$489.71	$516.13	$562.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $649.42	Professional		$32.34	$32.34	$649.42
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 $424.05 / $551.27 / $905.38	Professional		$424.05	$551.27	$905.38