Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,694.00 / $5,389.00	Facility		$630.00	$1,694.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.46 / $486.52 / $833.09	Professional		$358.46	$486.52	$833.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,000.90 / $6,419.04 / $12,854.12	Facility		$3,000.90	$6,419.04	$12,854.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.94 / $801.79 / $829.90	Professional		$587.94	$801.79	$829.90
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 $462.04 / $708.61 / $997.30	Professional		$462.04	$708.61	$997.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $509.11 / $803.10 / $1,971.91	Professional		$509.11	$803.10	$1,971.91
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 $524.13 / $601.67 / $682.37	Professional		$524.13	$601.67	$682.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $787.35	Professional		$32.34	$32.34	$787.35
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 $459.80 / $648.74 / $1,044.01	Professional		$459.80	$648.74	$1,044.01