Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.43 / $2,118.00 / $5,405.00	Facility		$718.43	$2,118.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.33 / $436.42 / $831.76	Professional		$379.33	$436.42	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,669.68 / $5,336.20 / $10,229.04	Facility		$2,669.68	$5,336.20	$10,229.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.51 / $716.14 / $843.27	Professional		$532.51	$716.14	$843.27
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 $405.33 / $632.40 / $898.96	Professional		$405.33	$632.40	$898.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $466.85 / $721.50 / $2,077.58	Professional		$466.85	$721.50	$2,077.58
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 $513.08 / $551.73 / $608.99	Professional		$513.08	$551.73	$608.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $702.68	Professional		$32.34	$32.34	$702.68
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 $446.79 / $593.85 / $993.20	Professional		$446.79	$593.85	$993.20