Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,283.00 / $2,750.00	Facility		$500.00	$1,283.00	$2,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.96 / $438.42 / $828.82	Professional		$351.96	$438.42	$828.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,250.95 / $2,172.50 / $4,509.14	Facility		$1,250.95	$2,172.50	$4,509.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.66 / $361.31 / $627.41	Professional		$100.66	$361.31	$627.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.73 / $417.26 / $857.71	Facility		$290.73	$417.26	$857.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.99 / $525.00 / $893.96	Professional		$331.99	$525.00	$893.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.98 / $579.05 / $2,601.44	Professional		$363.98	$579.05	$2,601.44
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 $388.82 / $398.78 / $430.16	Professional		$388.82	$398.78	$430.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $109.38 / $450.01	Professional		$32.34	$109.38	$450.01
United Facility/Professional Facility Modifier Low / Median / High Price $336.30 / $336.30 / $492.43	Facility		$336.30	$336.30	$492.43
United Facility/Professional Professional Modifier Low / Median / High Price $398.23 / $562.35 / $821.26	Professional		$398.23	$562.35	$821.26