Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,265.00 / $9,691.00	Facility		$755.00	$2,265.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.95 / $554.15 / $890.20	Professional		$464.95	$554.15	$890.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,039.60 / $9,266.17 / $14,062.09	Facility		$4,039.60	$9,266.17	$14,062.09
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 $494.06 / $697.93 / $1,099.63	Professional		$494.06	$697.93	$1,099.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $471.47 / $761.24 / $2,340.83	Professional		$471.47	$761.24	$2,340.83
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 $510.76 / $578.63 / $646.79	Professional		$510.76	$578.63	$646.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $731.38	Professional		$32.34	$32.34	$731.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.00 / $14,409.00 / $51,240.00	Facility		$2,276.00	$14,409.00	$51,240.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.38 / $721.07 / $1,143.57	Professional		$489.38	$721.07	$1,143.57