Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.85 / $2,265.00 / $7,834.37	Facility		$665.85	$2,265.00	$7,834.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.76 / $370.71 / $665.85	Professional		$322.76	$370.71	$665.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,735.11 / $7,118.54 / $10,460.78	Facility		$3,735.11	$7,118.54	$10,460.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.16 / $612.12 / $721.22	Professional		$455.16	$612.12	$721.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $11,477.00 / $12,682.00	Facility		$709.00	$11,477.00	$12,682.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.60 / $540.54 / $783.03	Professional		$394.60	$540.54	$783.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $399.28 / $617.07 / $1,947.38	Professional		$399.28	$617.07	$1,947.38
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 $435.88 / $471.87 / $520.52	Professional		$435.88	$471.87	$520.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $600.60	Professional		$32.34	$32.34	$600.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.30 / $537.28 / $953.33	Professional		$384.30	$537.28	$953.33