Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.81 / $2,989.00 / $7,407.00	Facility		$828.81	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.34 / $753.38 / $848.81	Professional		$553.34	$753.38	$848.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,785.60 / $3,432.41 / $13,384.62	Facility		$1,785.60	$3,432.41	$13,384.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $587.00 / $857.83	Facility		$400.00	$587.00	$857.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.39 / $679.39 / $732.01	Professional		$679.39	$679.39	$732.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $668.11 / $956.79 / $2,160.21	Professional		$668.11	$956.79	$2,160.21
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 $860.52 / $979.39 / $1,100.84	Professional		$860.52	$979.39	$1,100.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,244.81	Professional		$32.34	$32.34	$1,244.81
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $685.10 / $974.18 / $1,570.04	Professional		$685.10	$974.18	$1,570.04