Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,731.00 / $5,389.00	Facility		$720.00	$1,731.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.07 / $472.82 / $836.22	Professional		$420.07	$472.82	$836.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,037.41 / $6,792.52 / $11,082.24	Facility		$3,037.41	$6,792.52	$11,082.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.76 / $790.44 / $949.44	Professional		$587.76	$790.44	$949.44
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 $453.02 / $698.02 / $982.39	Professional		$453.02	$698.02	$982.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $528.01 / $836.22 / $2,045.32	Professional		$528.01	$836.22	$2,045.32
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 $607.95 / $621.19 / $672.17	Professional		$607.95	$621.19	$672.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $760.06	Professional		$32.34	$32.34	$760.06
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 $471.55 / $719.40 / $1,257.70	Professional		$471.55	$719.40	$1,257.70