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 $303.39 / $411.80 / $720.56	Professional		$303.39	$411.80	$720.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,540.05 / $5,433.28 / $10,880.14	Facility		$2,540.05	$5,433.28	$10,880.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.54 / $685.33 / $708.54	Professional		$502.54	$685.33	$708.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.22 / $592.73 / $785.15	Professional		$403.22	$592.73	$785.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $434.67 / $680.26 / $1,539.79	Professional		$434.67	$680.26	$1,539.79
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 $442.17 / $513.70 / $583.26	Professional		$442.17	$513.70	$583.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $672.99	Professional		$32.34	$32.34	$672.99
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 $372.19 / $556.59 / $1,034.13	Professional		$372.19	$556.59	$1,034.13