Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,157.00 / $5,405.00	Facility		$711.00	$2,157.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.16 / $567.73 / $917.97	Professional		$490.16	$567.73	$917.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,732.81 / $6,557.38 / $14,302.48	Facility		$3,732.81	$6,557.38	$14,302.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.04 / $753.93 / $1,007.35	Professional		$523.04	$753.93	$1,007.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.90 / $784.74 / $2,479.04	Professional		$512.90	$784.74	$2,479.04
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 $576.88 / $612.57 / $666.77	Professional		$576.88	$612.57	$666.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $753.96	Professional		$32.34	$32.34	$753.96
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 $506.34 / $695.78 / $1,218.25	Professional		$506.34	$695.78	$1,218.25