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 $492.63 / $594.16 / $1,078.20	Professional		$492.63	$594.16	$1,078.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $6,369.87 / $13,893.50	Facility		$2,202.15	$6,369.87	$13,893.50
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 $572.67 / $846.73 / $1,228.57	Professional		$572.67	$846.73	$1,228.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $644.91 / $978.02 / $2,430.34	Professional		$644.91	$978.02	$2,430.34
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 $693.34 / $743.52 / $828.19	Professional		$693.34	$743.52	$828.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $936.49	Professional		$32.34	$32.34	$936.49
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 $544.57 / $741.17 / $1,282.67	Professional		$544.57	$741.17	$1,282.67