Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,731.00 / $5,091.00	Facility		$630.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.05 / $444.34 / $814.46	Professional		$365.05	$444.34	$814.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,585.21 / $4,651.95 / $10,146.49	Facility		$2,585.21	$4,651.95	$10,146.49
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 $430.24 / $640.05 / $934.09	Professional		$430.24	$640.05	$934.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $503.23 / $742.87 / $1,839.64	Professional		$503.23	$742.87	$1,839.64
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 $494.10 / $555.53 / $623.04	Professional		$494.10	$555.53	$623.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $704.53	Professional		$32.34	$32.34	$704.53
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 $426.85 / $610.05 / $976.23	Professional		$426.85	$610.05	$976.23