Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,800.00 / $5,580.00	Facility		$813.00	$2,800.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.28 / $594.86 / $933.35	Professional		$497.28	$594.86	$933.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,773.17 / $6,442.00 / $14,986.02	Facility		$3,773.17	$6,442.00	$14,986.02
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 $523.70 / $721.55 / $1,007.90	Professional		$523.70	$721.55	$1,007.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $511.13 / $786.14 / $2,090.65	Professional		$511.13	$786.14	$2,090.65
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 $547.85 / $619.39 / $694.82	Professional		$547.85	$619.39	$694.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $785.69	Professional		$32.34	$32.34	$785.69
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 $500.20 / $706.76 / $1,203.48	Professional		$500.20	$706.76	$1,203.48