Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $2,352.00 / $5,549.00	Facility		$676.00	$2,352.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.25 / $367.50 / $416.50	Professional		$363.25	$367.50	$416.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,388.71 / $5,235.91 / $6,754.79	Facility		$4,388.71	$5,235.91	$6,754.79
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 $275.00 / $527.90 / $615.88	Professional		$275.00	$527.90	$615.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $324.42 / $497.31 / $2,810.17	Professional		$324.42	$497.31	$2,810.17
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 $360.70 / $384.83 / $421.75	Professional		$360.70	$384.83	$421.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,995.00	Facility		$1,690.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.75 / $573.75 / $573.75	Professional		$573.75	$573.75	$573.75