Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $1,365.00 / $5,091.00	Facility		$538.00	$1,365.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.61 / $430.01 / $773.78	Professional		$358.61	$430.01	$773.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,445.42 / $10,080.29	Facility		$3,878.08	$5,445.42	$10,080.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $3,072.73 / $3,430.33	Facility		$463.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $609.87 / $885.20	Professional		$415.00	$609.87	$885.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.83 / $709.21 / $1,771.14	Professional		$467.83	$709.21	$1,771.14
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 $506.82 / $539.16 / $600.64	Professional		$506.82	$539.16	$600.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $679.18	Professional		$32.34	$32.34	$679.18
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 $395.31 / $534.98 / $922.54	Professional		$395.31	$534.98	$922.54