Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,758.00 / $5,580.00	Facility		$879.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.28 / $621.00 / $1,028.92	Professional		$493.28	$621.00	$1,028.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,387.61 / $9,164.46 / $13,421.98	Facility		$3,387.61	$9,164.46	$13,421.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.64 / $784.41 / $1,138.72	Professional		$573.64	$784.41	$1,138.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $584.23 / $929.66 / $2,365.15	Professional		$584.23	$929.66	$2,365.15
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 $638.04 / $690.46 / $755.35	Professional		$638.04	$690.46	$755.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $790.21	Professional		$32.34	$32.34	$790.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $579.85 / $782.44 / $1,267.02	Professional		$579.85	$782.44	$1,267.02