Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.73 / $2,989.00 / $8,582.00	Facility		$745.73	$2,989.00	$8,582.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.00 / $460.03 / $745.73	Professional		$386.00	$460.03	$745.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,666.53 / $5,007.64 / $7,801.25	Facility		$2,666.53	$5,007.64	$7,801.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.81 / $550.75 / $800.20	Professional		$464.81	$550.75	$800.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $12,731.00 / $28,989.00	Facility		$875.00	$12,731.00	$28,989.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.89 / $561.33 / $937.51	Professional		$411.89	$561.33	$937.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $397.92 / $612.27 / $1,871.96	Professional		$397.92	$612.27	$1,871.96
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 $430.01 / $482.39 / $539.46	Professional		$430.01	$482.39	$539.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $610.01	Professional		$32.34	$32.34	$610.01
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 $393.74 / $583.19 / $947.34	Professional		$393.74	$583.19	$947.34