Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.84 / $1,272.00 / $5,430.00	Facility		$732.84	$1,272.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.46 / $464.20 / $825.48	Professional		$398.46	$464.20	$825.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,334.19 / $5,088.16 / $10,189.04	Facility		$2,334.19	$5,088.16	$10,189.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $587.00 / $908.00	Facility		$400.00	$587.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.87 / $632.07 / $962.08	Professional		$408.87	$632.07	$962.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.95 / $715.18 / $1,906.49	Professional		$457.95	$715.18	$1,906.49
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 $491.52 / $560.40 / $629.98	Professional		$491.52	$560.40	$629.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $659.06	Professional		$32.34	$32.34	$659.06
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 $434.32 / $619.63 / $982.61	Professional		$434.32	$619.63	$982.61