Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.30 / $1,835.00 / $5,389.00	Facility		$614.30	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.32 / $331.67 / $617.88	Professional		$323.32	$331.67	$617.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,364.67 / $5,020.22 / $9,060.42	Facility		$2,364.67	$5,020.22	$9,060.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.62 / $458.36 / $720.19	Professional		$345.62	$458.36	$720.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $536.98 / $1,383.59	Professional		$345.40	$536.98	$1,383.59
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 $377.18 / $404.78 / $438.93	Professional		$377.18	$404.78	$438.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $506.46	Professional		$32.34	$32.34	$506.46
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 $342.95 / $474.14 / $728.23	Professional		$342.95	$474.14	$728.23