Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.37 / $1,609.00 / $5,091.00	Facility		$499.37	$1,609.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.64 / $499.37 / $789.01	Professional		$388.64	$499.37	$789.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,734.10 / $4,303.83 / $8,848.48	Facility		$2,734.10	$4,303.83	$8,848.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.23 / $571.17 / $828.49	Professional		$389.23	$571.17	$828.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $364.22 / $637.39 / $1,794.69	Professional		$364.22	$637.39	$1,794.69
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 $467.18 / $473.30 / $591.86	Professional		$467.18	$473.30	$591.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $669.26	Professional		$32.34	$32.34	$669.26
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,685.00 / $5,349.33	Facility		$815.00	$2,685.00	$5,349.33
United Facility/Professional Professional Modifier Low / Median / High Price $414.07 / $531.66 / $943.40	Professional		$414.07	$531.66	$943.40