Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $2,462.00 / $5,549.00	Facility		$630.00	$2,462.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.86 / $504.38 / $796.22	Professional		$401.86	$504.38	$796.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,332.71 / $4,199.21 / $9,159.01	Facility		$1,332.71	$4,199.21	$9,159.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.85 / $711.80 / $794.84	Professional		$458.85	$711.80	$794.84
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 $418.21 / $573.51 / $830.48	Professional		$418.21	$573.51	$830.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $373.13 / $642.54 / $1,465.09	Professional		$373.13	$642.54	$1,465.09
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 $485.07 / $489.80 / $596.65	Professional		$485.07	$489.80	$596.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $674.67	Professional		$32.34	$32.34	$674.67
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.36 / $544.32 / $942.92	Professional		$417.36	$544.32	$942.92