Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,157.00 / $5,405.00	Facility		$755.00	$2,157.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.54 / $614.91 / $890.99	Professional		$485.54	$614.91	$890.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,507.24 / $6,155.56 / $11,109.47	Facility		$4,507.24	$6,155.56	$11,109.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.04 / $782.39 / $857.85	Professional		$552.04	$782.39	$857.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.66 / $655.49 / $936.41	Professional		$454.66	$655.49	$936.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $437.91 / $738.93 / $1,688.72	Professional		$437.91	$738.93	$1,688.72
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 $581.89 / $590.29 / $640.71	Professional		$581.89	$590.29	$640.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $724.49	Professional		$32.34	$32.34	$724.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.11 / $620.14 / $1,057.97	Professional		$456.11	$620.14	$1,057.97