Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,609.00 / $5,549.00	Facility		$630.00	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.14 / $511.66 / $935.24	Professional		$376.14	$511.66	$935.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,155.96 / $6,750.72 / $13,518.31	Facility		$3,155.96	$6,750.72	$13,518.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.48 / $733.91 / $835.56	Professional		$599.48	$733.91	$835.56
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 $529.91 / $750.30 / $1,031.93	Professional		$529.91	$750.30	$1,031.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.54 / $850.34 / $2,615.38	Professional		$537.54	$850.34	$2,615.38
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 $527.14 / $635.27 / $722.51	Professional		$527.14	$635.27	$722.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $833.67	Professional		$32.34	$32.34	$833.67
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 $494.40 / $742.91 / $1,149.11	Professional		$494.40	$742.91	$1,149.11