Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,835.00 / $5,389.00	Facility		$630.00	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.89 / $396.20 / $691.96	Professional		$350.89	$396.20	$691.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,440.23 / $4,019.21 / $9,349.89	Facility		$2,440.23	$4,019.21	$9,349.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.11 / $666.47 / $733.91	Professional		$447.11	$666.47	$733.91
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 $336.81 / $508.44 / $725.51	Professional		$336.81	$508.44	$725.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $379.89 / $590.54 / $1,175.96	Professional		$379.89	$590.54	$1,175.96
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 $426.79 / $448.96 / $489.61	Professional		$426.79	$448.96	$489.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $564.92	Professional		$32.34	$32.34	$564.92
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 $371.47 / $478.08 / $826.65	Professional		$371.47	$478.08	$826.65