Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.11 / $2,095.00 / $5,393.00	Facility		$681.11	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.82 / $415.03 / $743.46	Professional		$345.82	$415.03	$743.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,118.73 / $4,449.39 / $9,704.70	Facility		$2,118.73	$4,449.39	$9,704.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,631.14 / $1,820.98	Facility		$709.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.54 / $603.03 / $848.71	Professional		$418.54	$603.03	$848.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.69 / $685.11 / $1,702.33	Professional		$446.69	$685.11	$1,702.33
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 $490.63 / $520.85 / $580.70	Professional		$490.63	$520.85	$580.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $656.63	Professional		$32.34	$32.34	$656.63
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 $366.34 / $498.52 / $886.31	Professional		$366.34	$498.52	$886.31