Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,095.00 / $5,393.00	Facility		$711.00	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.04 / $556.91 / $1,009.61	Professional		$461.04	$556.91	$1,009.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $968.14 / $5,970.68 / $13,022.81	Facility		$968.14	$5,970.68	$13,022.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $734.73 / $820.24	Facility		$709.00	$734.73	$820.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.07 / $797.70 / $1,139.39	Professional		$544.07	$797.70	$1,139.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $619.60 / $911.68 / $2,537.19	Professional		$619.60	$911.68	$2,537.19
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 $645.94 / $695.66 / $774.63	Professional		$645.94	$695.66	$774.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $875.93	Professional		$32.34	$32.34	$875.93
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.70 / $688.23 / $1,201.55	Professional		$506.70	$688.23	$1,201.55