Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,731.00 / $5,091.00	Facility		$624.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.66 / $337.44 / $707.58	Professional		$281.66	$337.44	$707.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,340.94 / $3,577.80 / $7,345.27	Facility		$2,340.94	$3,577.80	$7,345.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,799.73 / $2,009.18	Facility		$620.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.41 / $491.27 / $772.17	Professional		$348.41	$491.27	$772.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $384.81 / $561.46 / $1,846.85	Professional		$384.81	$561.46	$1,846.85
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 $406.77 / $420.38 / $456.18	Professional		$406.77	$420.38	$456.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $515.84	Professional		$32.34	$32.34	$515.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.88 / $510.80 / $845.51	Professional		$331.88	$510.80	$845.51