Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.51 / $2,784.00 / $6,661.00	Facility		$785.51	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.41 / $420.32 / $773.98	Professional		$382.41	$420.32	$773.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,625.32 / $6,739.63 / $10,114.68	Facility		$2,625.32	$6,739.63	$10,114.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.91 / $1,855.00 / $5,261.95	Facility		$459.91	$1,855.00	$5,261.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.42 / $570.97 / $905.13	Professional		$404.42	$570.97	$905.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $433.85 / $662.61 / $2,113.71	Professional		$433.85	$662.61	$2,113.71
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 $476.00 / $506.70 / $549.82	Professional		$476.00	$506.70	$549.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $621.72	Professional		$32.34	$32.34	$621.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,530.00 / $8,168.00	Facility		$1,172.00	$4,530.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.89 / $600.78 / $932.18	Professional		$414.89	$600.78	$932.18