Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,118.00 / $5,549.00	Facility		$755.00	$2,118.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.17 / $587.85 / $1,055.89	Professional		$482.17	$587.85	$1,055.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $6,302.20 / $13,745.90	Facility		$2,202.15	$6,302.20	$13,745.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,820.98 / $10,111.00	Facility		$709.00	$1,820.98	$10,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.44 / $818.96 / $1,204.26	Professional		$543.44	$818.96	$1,204.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $621.96 / $961.21 / $2,560.73	Professional		$621.96	$961.21	$2,560.73
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 $687.35 / $735.05 / $818.96	Professional		$687.35	$735.05	$818.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $926.06	Professional		$32.34	$32.34	$926.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,711.00 / $8,821.00	Facility		$1,787.00	$4,711.00	$8,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $536.30 / $740.29 / $1,261.18	Professional		$536.30	$740.29	$1,261.18