Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.13 / $1,094.00 / $4,931.59	Facility		$428.13	$1,094.00	$4,931.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.95 / $432.31 / $764.18	Professional		$351.95	$432.31	$764.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,441.42 / $6,730.07 / $9,862.76	Facility		$3,441.42	$6,730.07	$9,862.76
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 $381.40 / $586.28 / $895.77	Professional		$381.40	$586.28	$895.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $441.87 / $659.95 / $1,646.18	Professional		$441.87	$659.95	$1,646.18
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 $411.14 / $441.87 / $585.13	Professional		$411.14	$441.87	$585.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $675.15	Professional		$32.34	$32.34	$675.15
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.50 / $639.65 / $1,166.19	Professional		$449.50	$639.65	$1,166.19