Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.35 / $1,326.00 / $5,389.00	Facility		$586.35	$1,326.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.37 / $586.35 / $1,012.74	Professional		$519.37	$586.35	$1,012.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,611.34 / $7,724.80 / $15,468.91	Facility		$3,611.34	$7,724.80	$15,468.91
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 $533.54 / $747.11 / $1,071.21	Professional		$533.54	$747.11	$1,071.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $558.95 / $868.92 / $2,361.33	Professional		$558.95	$868.92	$2,361.33
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 $625.64 / $660.58 / $719.43	Professional		$625.64	$660.58	$719.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $830.12	Professional		$32.34	$32.34	$830.12
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.84 / $781.68 / $1,165.60	Professional		$548.84	$781.68	$1,165.60