Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,486.00 / $5,091.00	Facility		$471.00	$1,486.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.81 / $422.92 / $722.05	Professional		$274.81	$422.92	$722.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,259.12 / $4,745.76 / $7,325.92	Facility		$2,259.12	$4,745.76	$7,325.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.38 / $573.74 / $763.69	Professional		$349.38	$573.74	$763.69
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 $297.61 / $473.82 / $702.32	Professional		$297.61	$473.82	$702.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $359.37 / $557.02 / $1,332.77	Professional		$359.37	$557.02	$1,332.77
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 $333.00 / $350.97 / $512.92	Professional		$333.00	$350.97	$512.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $536.60	Professional		$32.34	$32.34	$536.60
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 $425.50 / $613.16 / $969.52	Professional		$425.50	$613.16	$969.52