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 $329.73 / $447.27 / $752.95	Professional		$329.73	$447.27	$752.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,758.81 / $5,901.20 / $11,817.15	Facility		$2,758.81	$5,901.20	$11,817.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.92 / $740.41 / $766.30	Professional		$542.92	$740.41	$766.30
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 $420.05 / $654.36 / $920.96	Professional		$420.05	$654.36	$920.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $470.10 / $741.61 / $1,754.91	Professional		$470.10	$741.61	$1,754.91
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 $486.07 / $555.57 / $630.12	Professional		$486.07	$555.57	$630.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $727.07	Professional		$32.34	$32.34	$727.07
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 $394.98 / $577.91 / $956.49	Professional		$394.98	$577.91	$956.49