Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,696.00 / $5,389.00	Facility		$624.00	$1,696.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.61 / $454.39 / $691.47	Professional		$376.61	$454.39	$691.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,249.67 / $4,812.16 / $9,636.35	Facility		$2,249.67	$4,812.16	$9,636.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.04 / $606.65 / $665.64	Professional		$428.04	$606.65	$665.64
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 $365.95 / $496.78 / $726.07	Professional		$365.95	$496.78	$726.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $573.21 / $1,704.02	Professional		$345.40	$573.21	$1,704.02
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 $451.13 / $458.04 / $496.78	Professional		$451.13	$458.04	$496.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $561.75	Professional		$32.34	$32.34	$561.75
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 $350.41 / $452.04 / $798.25	Professional		$350.41	$452.04	$798.25