Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,835.00 / $5,389.00	Facility		$720.00	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.10 / $686.25 / $1,035.23	Professional		$540.10	$686.25	$1,035.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,743.55 / $6,165.85 / $14,343.61	Facility		$3,743.55	$6,165.85	$14,343.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.35 / $850.31 / $1,241.24	Professional		$616.35	$850.31	$1,241.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $628.83 / $971.82 / $2,439.40	Professional		$628.83	$971.82	$2,439.40
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 $714.08 / $743.16 / $818.82	Professional		$714.08	$743.16	$818.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $944.79	Professional		$32.34	$32.34	$944.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,247.00 / $8,995.00	Facility		$1,152.00	$5,247.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $580.91 / $796.26 / $1,345.83	Professional		$580.91	$796.26	$1,345.83