Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.38 / $1,609.00 / $5,549.00	Facility		$420.38	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.52 / $430.70 / $804.45	Professional		$351.52	$430.70	$804.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.53 / $3,979.76 / $7,969.46	Facility		$1,860.53	$3,979.76	$7,969.46
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 $373.62 / $589.16 / $1,043.42	Professional		$373.62	$589.16	$1,043.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $356.53 / $589.03 / $2,074.90	Professional		$356.53	$589.03	$2,074.90
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 $363.77 / $437.57 / $490.98	Professional		$363.77	$437.57	$490.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $555.19	Professional		$32.34	$32.34	$555.19
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.39 / $627.12 / $981.75	Professional		$367.39	$627.12	$981.75