Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.29 / $1,169.00 / $5,091.00	Facility		$432.29	$1,169.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.16 / $436.38 / $771.83	Professional		$354.16	$436.38	$771.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,441.42 / $6,730.07 / $9,924.67	Facility		$3,441.42	$6,730.07	$9,924.67
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 $384.39 / $590.29 / $842.88	Professional		$384.39	$590.29	$842.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $443.94 / $665.79 / $1,876.18	Professional		$443.94	$665.79	$1,876.18
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 $413.22 / $443.94 / $590.27	Professional		$413.22	$443.94	$590.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $681.08	Professional		$32.34	$32.34	$681.08
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 $453.36 / $642.44 / $1,118.00	Professional		$453.36	$642.44	$1,118.00