Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.78 / $1,630.00 / $5,091.00	Facility		$674.78	$1,630.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.01 / $616.30 / $1,184.25	Professional		$502.01	$616.30	$1,184.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,469.76 / $5,463.41 / $11,916.39	Facility		$2,469.76	$5,463.41	$11,916.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.84 / $837.80 / $1,266.28	Professional		$601.84	$837.80	$1,266.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $667.21 / $1,088.74 / $2,382.08	Professional		$667.21	$1,088.74	$2,382.08
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 $707.68 / $751.13 / $985.73	Professional		$707.68	$751.13	$985.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,137.38	Professional		$32.34	$32.34	$1,137.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,951.00 / $6,625.00	Facility		$1,600.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.62 / $876.97 / $1,524.15	Professional		$595.62	$876.97	$1,524.15