Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,363.00 / $2,750.00	Facility		$500.00	$1,363.00	$2,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $459.23 / $652.61	Professional		$370.50	$459.23	$652.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $783.03 / $2,825.74 / $6,331.42	Facility		$783.03	$2,825.74	$6,331.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.03 / $436.80 / $682.82	Professional		$169.03	$436.80	$682.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.66 / $536.59 / $1,069.51	Facility		$266.66	$536.59	$1,069.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.55 / $572.65 / $1,112.51	Professional		$379.55	$572.65	$1,112.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $411.71 / $625.04 / $1,839.47	Professional		$411.71	$625.04	$1,839.47
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 $444.52 / $455.17 / $486.56	Professional		$444.52	$455.17	$486.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $183.68 / $509.02	Professional		$32.34	$183.68	$509.02
United Facility/Professional Facility Modifier Low / Median / High Price $603.76 / $603.76 / $795.98	Facility		$603.76	$603.76	$795.98
United Facility/Professional Professional Modifier Low / Median / High Price $436.59 / $658.61 / $1,080.21	Professional		$436.59	$658.61	$1,080.21