Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $2,243.00 / $7,774.08	Facility		$720.00	$2,243.00	$7,774.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.40 / $507.70 / $950.11	Professional		$465.40	$507.70	$950.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,466.26 / $6,363.64 / $13,281.18	Facility		$3,466.26	$6,363.64	$13,281.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.16 / $918.60 / $1,083.94	Professional		$571.16	$918.60	$1,083.94
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 $506.95 / $671.26 / $1,053.14	Professional		$506.95	$671.26	$1,053.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $502.38 / $792.35 / $2,336.17	Professional		$502.38	$792.35	$2,336.17
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 $551.32 / $593.72 / $643.79	Professional		$551.32	$593.72	$643.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $742.83	Professional		$32.34	$32.34	$742.83
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 $508.08 / $712.68 / $1,069.26	Professional		$508.08	$712.68	$1,069.26