Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.47 / $1,568.00 / $5,091.00	Facility		$519.47	$1,568.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.01 / $494.62 / $912.90	Professional		$303.01	$494.62	$912.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,192.85 / $3,546.70 / $7,295.11	Facility		$2,192.85	$3,546.70	$7,295.11
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 $350.94 / $571.29 / $939.15	Professional		$350.94	$571.29	$939.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $399.69 / $758.32 / $1,821.80	Professional		$399.69	$758.32	$1,821.80
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 $405.57 / $452.75 / $758.32	Professional		$405.57	$452.75	$758.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $857.48	Professional		$32.34	$32.34	$857.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.79 / $641.27 / $1,178.71	Professional		$437.79	$641.27	$1,178.71