Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.43 / $2,157.00 / $5,405.00	Facility		$867.43	$2,157.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.47 / $867.43 / $1,675.79	Professional		$758.47	$867.43	$1,675.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $8,450.33 / $18,431.24	Facility		$2,517.01	$8,450.33	$18,431.24
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 $837.81 / $1,176.14 / $1,756.20	Professional		$837.81	$1,176.14	$1,756.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $921.78 / $1,479.95 / $4,075.42	Professional		$921.78	$1,479.95	$4,075.42
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 $1,083.24 / $1,157.01 / $1,282.61	Professional		$1,083.24	$1,157.01	$1,282.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,479.95	Professional		$32.34	$32.34	$1,479.95
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 $821.71 / $1,147.58 / $2,001.29	Professional		$821.71	$1,147.58	$2,001.29