Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $2,989.00 / $5,549.00	Facility		$380.00	$2,989.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.92 / $367.67 / $430.86	Professional		$300.92	$367.67	$430.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,533.80 / $7,830.59 / $12,138.23	Facility		$3,533.80	$7,830.59	$12,138.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,831.39 / $6,831.39 / $7,626.43	Facility		$6,831.39	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $325.56 / $325.56	Professional		$325.56	$325.56	$325.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $324.80 / $389.81 / $573.17	Professional		$324.80	$389.81	$573.17
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 $433.73 / $460.68 / $496.76	Professional		$433.73	$460.68	$496.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $561.72	Professional		$32.34	$32.34	$561.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.25 / $504.09 / $804.90	Professional		$357.25	$504.09	$804.90