Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.03 / $1,842.00 / $5,389.00	Facility		$649.03	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.03 / $514.97 / $746.60	Professional		$406.03	$514.97	$746.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,796.70 / $4,523.37 / $9,310.04	Facility		$2,796.70	$4,523.37	$9,310.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.15 / $659.25 / $721.27	Professional		$465.15	$659.25	$721.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.84 / $540.83 / $808.30	Professional		$397.84	$540.83	$808.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $381.78 / $649.03 / $1,837.90	Professional		$381.78	$649.03	$1,837.90
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 $491.91 / $496.31 / $539.86	Professional		$491.91	$496.31	$539.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $610.46	Professional		$32.34	$32.34	$610.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,625.00	Facility		$1,282.00	$3,751.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $505.40 / $861.09	Professional		$378.23	$505.40	$861.09