Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.86 / $1,785.00 / $5,393.00	Facility		$633.86	$1,785.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.83 / $633.86 / $998.95	Professional		$454.83	$633.86	$998.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.70 / $4,890.97 / $10,667.82	Facility		$2,796.70	$4,890.97	$10,667.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.29 / $829.74 / $993.60	Professional		$535.29	$829.74	$993.60
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 $454.41 / $716.85 / $1,026.04	Professional		$454.41	$716.85	$1,026.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $460.14 / $805.25 / $1,952.24	Professional		$460.14	$805.25	$1,952.24
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 $563.12 / $570.96 / $747.73	Professional		$563.12	$570.96	$747.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $845.51	Professional		$32.34	$32.34	$845.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $725.97 / $1,208.25	Professional		$520.00	$725.97	$1,208.25