Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $1,451.00 / $5,389.00	Facility		$538.00	$1,451.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.45 / $369.15 / $705.72	Professional		$304.45	$369.15	$705.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,200.05 / $4,706.00 / $9,423.76	Facility		$2,200.05	$4,706.00	$9,423.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.86 / $595.86 / $682.71	Professional		$459.86	$595.86	$682.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.74 / $535.49 / $780.55	Professional		$380.74	$535.49	$780.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $421.45 / $624.73 / $1,562.16	Professional		$421.45	$624.73	$1,562.16
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 $413.83 / $464.09 / $515.66	Professional		$413.83	$464.09	$515.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $583.09	Professional		$32.34	$32.34	$583.09
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $843.00 / $3,592.00	Facility		$165.00	$843.00	$3,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.27 / $513.36 / $840.88	Professional		$353.27	$513.36	$840.88