Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.85 / $1,758.00 / $5,389.00	Facility		$590.85	$1,758.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.48 / $459.10 / $806.47	Professional		$288.48	$459.10	$806.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,961.03 / $3,547.34 / $7,737.19	Facility		$1,961.03	$3,547.34	$7,737.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,279.13 / $1,428.00	Facility		$709.00	$1,279.13	$1,428.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.76 / $539.15 / $907.24	Professional		$335.76	$539.15	$907.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $379.48 / $713.60 / $1,628.59	Professional		$379.48	$713.60	$1,628.59
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 $397.07 / $415.70 / $687.17	Professional		$397.07	$415.70	$687.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $777.03	Professional		$32.34	$32.34	$777.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.80 / $605.94 / $1,100.19	Professional		$455.80	$605.94	$1,100.19