Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $2,232.00 / $5,405.00	Facility		$676.00	$2,232.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.10 / $421.95 / $1,063.56	Professional		$401.10	$421.95	$1,063.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,828.09 / $13,205.99 / $17,061.75	Facility		$9,828.09	$13,205.99	$17,061.75
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 $457.05 / $644.13 / $825.19	Professional		$457.05	$644.13	$825.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $408.69 / $601.24 / $1,035.19	Professional		$408.69	$601.24	$1,035.19
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 $459.77 / $488.03 / $531.29	Professional		$459.77	$488.03	$531.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
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 $417.27 / $565.62 / $876.20	Professional		$417.27	$565.62	$876.20