Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $1,289.00 / $5,389.00	Facility		$538.00	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.93 / $471.60 / $797.65	Professional		$417.93	$471.60	$797.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,455.71 / $4,784.10 / $11,129.25	Facility		$2,455.71	$4,784.10	$11,129.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.83 / $602.51 / $863.30	Professional		$419.83	$602.51	$863.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $450.68 / $700.60 / $1,851.43	Professional		$450.68	$700.60	$1,851.43
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 $504.86 / $532.62 / $580.19	Professional		$504.86	$532.62	$580.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $669.45	Professional		$32.34	$32.34	$669.45
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 $438.49 / $587.76 / $986.08	Professional		$438.49	$587.76	$986.08