Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $1,326.00 / $5,389.00	Facility		$538.00	$1,326.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.59 / $543.04 / $1,012.21	Professional		$530.59	$543.04	$1,012.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.72 / $6,391.67 / $14,868.95	Facility		$869.72	$6,391.67	$14,868.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.26 / $753.67 / $1,186.73	Professional		$569.26	$753.67	$1,186.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $564.14 / $889.68 / $2,243.81	Professional		$564.14	$889.68	$2,243.81
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 $618.92 / $666.71 / $722.87	Professional		$618.92	$666.71	$722.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $834.08	Professional		$32.34	$32.34	$834.08
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.61 / $784.07 / $1,201.05	Professional		$553.61	$784.07	$1,201.05