Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,289.00 / $5,091.00	Facility		$630.00	$1,289.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.12 / $422.78 / $760.66	Professional		$382.12	$422.78	$760.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.55 / $2,163.46 / $8,173.78	Facility		$277.55	$2,163.46	$8,173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $213.21 / $1,000.00	Facility		$50.00	$213.21	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.31 / $567.91 / $868.94	Professional		$381.31	$567.91	$868.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $437.22 / $668.59 / $1,510.87	Professional		$437.22	$668.59	$1,510.87
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 $490.63 / $516.71 / $568.09	Professional		$490.63	$516.71	$568.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $642.38	Professional		$32.34	$32.34	$642.38
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,399.00	Facility		$204.00	$891.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.26 / $533.74 / $905.77	Professional		$391.26	$533.74	$905.77