Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.68 / $1,289.00 / $5,091.00	Facility		$502.68	$1,289.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.19 / $261.95 / $494.83	Professional		$242.19	$261.95	$494.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,683.28 / $4,798.62 / $9,990.58	Facility		$1,683.28	$4,798.62	$9,990.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.63 / $785.00 / $5,261.95	Facility		$293.63	$785.00	$5,261.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.87 / $365.04 / $543.08	Professional		$263.87	$365.04	$543.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $291.01 / $423.59 / $1,394.20	Professional		$291.01	$423.59	$1,394.20
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 $304.29 / $323.92 / $351.52	Professional		$304.29	$323.92	$351.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $397.49	Professional		$32.34	$32.34	$397.49
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,664.00 / $5,407.00	Facility		$815.00	$2,664.00	$5,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.20 / $366.52 / $595.37	Professional		$259.20	$366.52	$595.37