Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,348.01 / $5,430.00	Facility		$755.00	$1,348.01	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.12 / $605.73 / $1,056.97	Professional		$516.12	$605.73	$1,056.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,038.23 / $3,103.93 / $11,726.91	Facility		$2,038.23	$3,103.93	$11,726.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $480.00 / $1,000.00	Facility		$300.00	$480.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.32 / $824.37 / $1,191.66	Professional		$558.32	$824.37	$1,191.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $626.48 / $958.83 / $2,209.80	Professional		$626.48	$958.83	$2,209.80
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 $653.12 / $733.23 / $824.37	Professional		$653.12	$733.23	$824.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $862.42	Professional		$32.34	$32.34	$862.42
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.08 / $749.27 / $1,278.72	Professional		$546.08	$749.27	$1,278.72