Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.79 / $2,758.00 / $5,580.00	Facility		$808.79	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.81 / $481.10 / $832.89	Professional		$417.81	$481.10	$832.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,327.89 / $8,260.62 / $12,098.25	Facility		$4,327.89	$8,260.62	$12,098.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.11 / $805.39 / $888.08	Professional		$496.11	$805.39	$888.08
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 $424.86 / $614.41 / $880.91	Professional		$424.86	$614.41	$880.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $459.69 / $714.61 / $2,344.39	Professional		$459.69	$714.61	$2,344.39
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 $514.72 / $543.27 / $591.66	Professional		$514.72	$543.27	$591.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $682.70	Professional		$32.34	$32.34	$682.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.87 / $587.33 / $960.61	Professional		$447.87	$587.33	$960.61