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 $510.20 / $615.59 / $1,110.26	Professional		$510.20	$615.59	$1,110.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,187.78 / $9,829.73 / $14,394.62	Facility		$6,187.78	$9,829.73	$14,394.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,831.39 / $7,626.43	Facility		$709.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.40 / $886.38 / $1,263.46	Professional		$616.40	$886.38	$1,263.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $690.88 / $1,010.47 / $3,111.28	Professional		$690.88	$1,010.47	$3,111.28
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 $715.14 / $768.20 / $855.37	Professional		$715.14	$768.20	$855.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $967.23	Professional		$32.34	$32.34	$967.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,272.00 / $8,168.00	Facility		$1,690.00	$5,272.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $565.41 / $764.72 / $1,324.42	Professional		$565.41	$764.72	$1,324.42