Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,609.00 / $5,549.00	Facility		$630.00	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $518.46 / $937.16	Professional		$390.00	$518.46	$937.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,089.91 / $6,609.44 / $13,235.40	Facility		$3,089.91	$6,609.44	$13,235.40
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 $535.98 / $756.34 / $980.44	Professional		$535.98	$756.34	$980.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $531.16 / $840.38 / $1,696.63	Professional		$531.16	$840.38	$1,696.63
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 $500.38 / $627.73 / $728.33	Professional		$500.38	$627.73	$728.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $840.38	Professional		$32.34	$32.34	$840.38
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $468.30 / $702.46 / $1,135.64	Professional		$468.30	$702.46	$1,135.64