Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,289.00 / $5,091.00	Facility		$463.00	$1,289.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.20 / $325.45 / $613.09	Professional		$282.20	$325.45	$613.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,271.39 / $4,588.43 / $7,610.23	Facility		$3,271.39	$4,588.43	$7,610.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.32 / $472.75 / $691.62	Professional		$317.32	$472.75	$691.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $367.70 / $567.41 / $1,389.02	Professional		$367.70	$567.41	$1,389.02
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 $408.42 / $423.03 / $455.25	Professional		$408.42	$423.03	$455.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $518.80	Professional		$32.34	$32.34	$518.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $311.82 / $421.20 / $738.43	Professional		$311.82	$421.20	$738.43