Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,379.00 / $5,389.00	Facility		$630.00	$1,379.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.20 / $423.53 / $772.66	Professional		$412.20	$423.53	$772.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,014.73 / $5,295.94 / $11,551.12	Facility		$3,014.73	$5,295.94	$11,551.12
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 $441.21 / $590.51 / $835.26	Professional		$441.21	$590.51	$835.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $437.23 / $681.29 / $1,727.68	Professional		$437.23	$681.29	$1,727.68
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 $490.22 / $516.72 / $563.23	Professional		$490.22	$516.72	$563.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $649.88	Professional		$32.34	$32.34	$649.88
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.82 / $615.07 / $911.03	Professional		$433.82	$615.07	$911.03