Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.79 / $1,379.00 / $5,389.00	Facility		$586.79	$1,379.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.57 / $367.24 / $681.44	Professional		$358.57	$367.24	$681.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,622.48 / $5,329.12 / $10,048.19	Facility		$2,622.48	$5,329.12	$10,048.19
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 $379.52 / $505.95 / $737.68	Professional		$379.52	$505.95	$737.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $379.69 / $590.24 / $1,528.47	Professional		$379.69	$590.24	$1,528.47
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 $417.56 / $448.72 / $486.51	Professional		$417.56	$448.72	$486.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $561.36	Professional		$32.34	$32.34	$561.36
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 $384.52 / $521.91 / $808.09	Professional		$384.52	$521.91	$808.09