Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $3,035.00 / $7,125.00	Facility		$825.00	$3,035.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.65 / $633.11 / $923.77	Professional		$500.65	$633.11	$923.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,507.24 / $6,328.86 / $11,446.23	Facility		$4,507.24	$6,328.86	$11,446.23
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 $486.54 / $689.15 / $1,002.18	Professional		$486.54	$689.15	$1,002.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.30 / $791.24 / $2,482.96	Professional		$457.30	$791.24	$2,482.96
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 $602.36 / $611.91 / $663.62	Professional		$602.36	$611.91	$663.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $750.41	Professional		$32.34	$32.34	$750.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.39 / $627.28 / $1,169.92	Professional		$470.39	$627.28	$1,169.92