Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,391.00 / $5,549.00	Facility		$630.00	$1,391.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.12 / $436.97 / $757.29	Professional		$322.12	$436.97	$757.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,627.01 / $5,619.28 / $11,252.60	Facility		$2,627.01	$5,619.28	$11,252.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.95 / $694.47 / $770.45	Professional		$529.95	$694.47	$770.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.23 / $625.64 / $827.96	Professional		$406.23	$625.64	$827.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $458.81 / $723.87 / $1,690.75	Professional		$458.81	$723.87	$1,690.75
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 $472.02 / $542.23 / $615.05	Professional		$472.02	$542.23	$615.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $709.68	Professional		$32.34	$32.34	$709.68
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.37 / $568.72 / $949.08	Professional		$391.37	$568.72	$949.08