Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $1,972.00 / $5,405.00	Facility		$676.00	$1,972.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.74 / $430.20 / $742.36	Professional		$373.74	$430.20	$742.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,037.41 / $6,621.34 / $10,083.29	Facility		$3,037.41	$6,621.34	$10,083.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.07 / $704.79 / $830.08	Professional		$524.07	$704.79	$830.08
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 $397.32 / $622.38 / $887.23	Professional		$397.32	$622.38	$887.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $459.55 / $710.21 / $2,037.96	Professional		$459.55	$710.21	$2,037.96
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 $507.38 / $543.10 / $599.33	Professional		$507.38	$543.10	$599.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $691.53	Professional		$32.34	$32.34	$691.53
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 $428.49 / $589.03 / $933.59	Professional		$428.49	$589.03	$933.59