Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,451.00 / $5,389.00	Facility		$630.00	$1,451.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.17 / $508.81 / $979.14	Professional		$478.17	$508.81	$979.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,188.91 / $5,942.97 / $12,218.47	Facility		$3,188.91	$5,942.97	$12,218.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.22 / $764.71 / $1,132.49	Professional		$525.22	$764.71	$1,132.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $563.85 / $872.87 / $2,359.71	Professional		$563.85	$872.87	$2,359.71
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 $648.41 / $666.37 / $736.39	Professional		$648.41	$666.37	$736.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $849.68	Professional		$32.34	$32.34	$849.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.24 / $730.62 / $1,169.41	Professional		$541.24	$730.62	$1,169.41