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 $394.09 / $502.89 / $892.09	Professional		$394.09	$502.89	$892.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,997.08 / $6,410.88 / $12,837.78	Facility		$2,997.08	$6,410.88	$12,837.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.54 / $820.84 / $908.18	Professional		$550.54	$820.84	$908.18
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 $451.63 / $737.69 / $999.12	Professional		$451.63	$737.69	$999.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $505.39 / $783.57 / $2,516.01	Professional		$505.39	$783.57	$2,516.01
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 $531.17 / $617.36 / $710.37	Professional		$531.17	$617.36	$710.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $819.66	Professional		$32.34	$32.34	$819.66
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 $474.63 / $721.11 / $1,244.54	Professional		$474.63	$721.11	$1,244.54