Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.82 / $1,379.00 / $5,389.00	Facility		$573.82	$1,379.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.63 / $387.95 / $671.43	Professional		$343.63	$387.95	$671.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,389.41 / $5,072.70 / $9,155.15	Facility		$2,389.41	$5,072.70	$9,155.15
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 $356.55 / $496.86 / $716.88	Professional		$356.55	$496.86	$716.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.29 / $578.54 / $1,529.69	Professional		$371.29	$578.54	$1,529.69
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 $416.25 / $438.80 / $478.47	Professional		$416.25	$438.80	$478.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $552.08	Professional		$32.34	$32.34	$552.08
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 $364.50 / $502.15 / $948.63	Professional		$364.50	$502.15	$948.63