Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,379.00 / $5,389.00	Facility		$630.00	$1,379.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.66 / $504.56 / $851.96	Professional		$447.66	$504.56	$851.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,107.60 / $5,941.00 / $11,906.94	Facility		$3,107.60	$5,941.00	$11,906.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.18 / $844.61 / $932.15	Professional		$496.18	$844.61	$932.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.89 / $650.38 / $941.15	Professional		$486.89	$650.38	$941.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $482.50 / $763.66 / $1,979.38	Professional		$482.50	$763.66	$1,979.38
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 $539.07 / $570.23 / $620.48	Professional		$539.07	$570.23	$620.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $715.94	Professional		$32.34	$32.34	$715.94
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 $481.46 / $677.27 / $1,182.44	Professional		$481.46	$677.27	$1,182.44