Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,694.00 / $5,389.00	Facility		$600.00	$1,694.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.80 / $364.25 / $648.91	Professional		$292.80	$364.25	$648.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,059.09 / $4,404.47 / $8,819.96	Facility		$2,059.09	$4,404.47	$8,819.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.64 / $553.59 / $652.49	Professional		$411.64	$553.59	$652.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.22 / $488.86 / $712.73	Professional		$336.22	$488.86	$712.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $361.23 / $558.48 / $1,658.67	Professional		$361.23	$558.48	$1,658.67
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 $395.64 / $426.91 / $470.76	Professional		$395.64	$426.91	$470.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $543.17	Professional		$32.34	$32.34	$543.17
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.73 / $454.33 / $772.71	Professional		$345.73	$454.33	$772.71