Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.90 / $1,326.00 / $5,389.00	Facility		$564.90	$1,326.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.90 / $577.04 / $1,076.46	Professional		$564.90	$577.04	$1,076.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.34 / $6,804.95 / $15,830.35	Facility		$4,122.34	$6,804.95	$15,830.35
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 $604.82 / $800.66 / $1,220.17	Professional		$604.82	$800.66	$1,220.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $599.37 / $945.14 / $2,383.26	Professional		$599.37	$945.14	$2,383.26
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 $657.46 / $708.34 / $767.92	Professional		$657.46	$708.34	$767.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $886.07	Professional		$32.34	$32.34	$886.07
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 $606.50 / $855.48 / $1,277.71	Professional		$606.50	$855.48	$1,277.71