Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,609.00 / $5,430.00	Facility		$755.00	$1,609.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.16 / $541.22 / $974.22	Professional		$440.16	$541.22	$974.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,225.52 / $6,899.52 / $13,816.28	Facility		$3,225.52	$6,899.52	$13,816.28
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 $485.90 / $775.63 / $1,105.14	Professional		$485.90	$775.63	$1,105.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.00 / $882.88 / $2,149.55	Professional		$562.00	$882.88	$2,149.55
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 $601.97 / $675.14 / $758.77	Professional		$601.97	$675.14	$758.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $857.99	Professional		$32.34	$32.34	$857.99
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,800.00 / $7,384.00	Facility		$800.00	$2,800.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.34 / $673.57 / $1,181.82	Professional		$474.34	$673.57	$1,181.82