Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.46 / $1,072.33 / $5,430.00	Facility		$504.46	$1,072.33	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.94 / $464.22 / $794.32	Professional		$288.94	$464.22	$794.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,788.44 / $3,684.47 / $6,649.69	Facility		$2,788.44	$3,684.47	$6,649.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.57 / $464.18 / $788.21	Professional		$298.57	$464.18	$788.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $584.70 / $1,635.32	Professional		$299.97	$584.70	$1,635.32
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 $353.47 / $354.51 / $584.70	Professional		$353.47	$354.51	$584.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $661.16	Professional		$32.34	$32.34	$661.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.47 / $548.14 / $949.82	Professional		$420.47	$548.14	$949.82