Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,731.00 / $5,091.00	Facility		$630.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.65 / $543.34 / $996.71	Professional		$448.65	$543.34	$996.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,179.74 / $12,705.26	Facility		$3,889.58	$6,179.74	$12,705.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.21 / $871.34 / $1,264.21	Professional		$549.21	$871.34	$1,264.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $626.11 / $958.47 / $2,251.06	Professional		$626.11	$958.47	$2,251.06
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 $626.04 / $678.29 / $755.16	Professional		$626.04	$678.29	$755.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $853.91	Professional		$32.34	$32.34	$853.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $518.54 / $783.70 / $1,320.90	Professional		$518.54	$783.70	$1,320.90