Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,118.00 / $5,405.00	Facility		$711.00	$2,118.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.97 / $449.17 / $788.80	Professional		$423.97	$449.17	$788.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.72 / $5,107.25 / $11,881.00	Facility		$869.72	$5,107.25	$11,881.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.01 / $612.17 / $874.88	Professional		$453.01	$612.17	$874.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $448.93 / $711.52 / $1,774.77	Professional		$448.93	$711.52	$1,774.77
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 $503.35 / $530.55 / $578.11	Professional		$503.35	$530.55	$578.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $667.05	Professional		$32.34	$32.34	$667.05
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 $444.07 / $624.98 / $951.33	Professional		$444.07	$624.98	$951.33