Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,609.00 / $5,549.00	Facility		$630.00	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.25 / $600.17 / $1,093.39	Professional		$588.25	$600.17	$1,093.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.74 / $7,086.27 / $16,484.80	Facility		$2,818.74	$7,086.27	$16,484.80
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 $597.32 / $839.06 / $1,215.03	Professional		$597.32	$839.06	$1,215.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $622.79 / $969.48 / $2,435.78	Professional		$622.79	$969.48	$2,435.78
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 $694.81 / $736.02 / $801.48	Professional		$694.81	$736.02	$801.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $924.78	Professional		$32.34	$32.34	$924.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.03 / $872.60 / $1,300.04	Professional		$615.03	$872.60	$1,300.04