Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $1,848.00 / $5,389.00	Facility		$513.00	$1,848.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.25 / $446.19 / $688.06	Professional		$253.25	$446.19	$688.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,259.12 / $4,925.53 / $6,363.64	Facility		$2,259.12	$4,925.53	$6,363.64
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 $195.45 / $275.00 / $401.12	Professional		$195.45	$275.00	$401.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $694.71 / $1,022.02 / $1,759.68	Professional		$694.71	$1,022.02	$1,759.68
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 $781.55 / $829.48 / $903.12	Professional		$781.55	$829.48	$903.12
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 $673.07 / $926.42 / $1,471.73	Professional		$673.07	$926.42	$1,471.73