Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.58 / $3,035.00 / $7,125.00	Facility		$584.58	$3,035.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.99 / $354.14 / $605.76	Professional		$280.99	$354.14	$605.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,181.88 / $6,906.13 / $11,762.27	Facility		$3,181.88	$6,906.13	$11,762.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.20 / $454.33 / $699.27	Professional		$336.20	$454.33	$699.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $530.04 / $1,648.00	Professional		$345.40	$530.04	$1,648.00
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 $364.26 / $393.74 / $431.16	Professional		$364.26	$393.74	$431.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $497.49	Professional		$32.34	$32.34	$497.49
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 $330.53 / $462.97 / $837.02	Professional		$330.53	$462.97	$837.02