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 $421.79 / $538.77 / $856.50	Professional		$421.79	$538.77	$856.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.52 / $7,831.58 / $11,469.87	Facility		$3,981.52	$7,831.58	$11,469.87
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 $416.96 / $663.11 / $931.10	Professional		$416.96	$663.11	$931.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $488.32 / $751.52 / $2,060.90	Professional		$488.32	$751.52	$2,060.90
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 $566.84 / $577.11 / $638.54	Professional		$566.84	$577.11	$638.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $736.79	Professional		$32.34	$32.34	$736.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,874.00	Facility		$1,282.00	$3,751.00	$6,874.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.97 / $621.25 / $1,033.86	Professional		$442.97	$621.25	$1,033.86