Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.62 / $1,326.00 / $5,389.00	Facility		$563.62	$1,326.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.62 / $575.59 / $1,073.88	Professional		$563.62	$575.59	$1,073.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,523.21 / $12,242.05 / $17,061.75	Facility		$6,523.21	$12,242.05	$17,061.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.41 / $798.74 / $1,256.66	Professional		$603.41	$798.74	$1,256.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $597.97 / $943.04 / $2,968.21	Professional		$597.97	$943.04	$2,968.21
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 $655.80 / $706.69 / $766.22	Professional		$655.80	$706.69	$766.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $884.10	Professional		$32.34	$32.34	$884.10
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $3,156.00 / $7,963.41	Facility		$815.00	$3,156.00	$7,963.41
United Facility/Professional Professional Modifier Low / Median / High Price $601.21 / $845.36 / $1,274.65	Professional		$601.21	$845.36	$1,274.65