Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.64 / $3,636.00 / $17,797.00	Facility		$698.64	$3,636.00	$17,797.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.66 / $447.73 / $698.64	Professional		$375.66	$447.73	$698.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.87 / $7,486.78 / $38,139.32	Facility		$3,263.87	$7,486.78	$38,139.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.06 / $521.41 / $608.75	Professional		$440.06	$521.41	$608.75
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 $389.95 / $590.75 / $935.80	Professional		$389.95	$590.75	$935.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $375.69 / $616.39 / $1,954.19	Professional		$375.69	$616.39	$1,954.19
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 $404.20 / $456.70 / $510.73	Professional		$404.20	$456.70	$510.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $577.52	Professional		$32.34	$32.34	$577.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,791.00 / $24,159.00 / $68,049.00	Facility		$3,791.00	$24,159.00	$68,049.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.08 / $577.29 / $970.68	Professional		$392.08	$577.29	$970.68