Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.23 / $2,167.51 / $5,405.00	Facility		$884.23	$2,167.51	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.67 / $884.23 / $1,652.78	Professional		$773.67	$884.23	$1,652.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,811.81 / $8,614.04 / $18,788.34	Facility		$4,811.81	$8,614.04	$18,788.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.67 / $1,219.73 / $1,790.18	Professional		$855.67	$1,219.73	$1,790.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $939.28 / $1,508.58 / $3,959.70	Professional		$939.28	$1,508.58	$3,959.70
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 $1,104.16 / $1,178.98 / $1,307.44	Professional		$1,104.16	$1,178.98	$1,307.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,508.58	Professional		$32.34	$32.34	$1,508.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,995.00	Facility		$1,690.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $835.54 / $1,158.30 / $2,026.19	Professional		$835.54	$1,158.30	$2,026.19