Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.06 / $2,824.00 / $5,580.00	Facility		$955.06	$2,824.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.34 / $955.06 / $1,959.36	Professional		$835.34	$955.06	$1,959.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,846.66 / $9,303.96 / $20,293.14	Facility		$4,846.66	$9,303.96	$20,293.14
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 $924.33 / $1,328.25 / $1,941.02	Professional		$924.33	$1,328.25	$1,941.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,014.71 / $1,629.05 / $4,436.10	Professional		$1,014.71	$1,629.05	$4,436.10
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 $1,192.14 / $1,273.58 / $1,411.84	Professional		$1,192.14	$1,273.58	$1,411.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,629.05	Professional		$32.34	$32.34	$1,629.05
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 $888.38 / $1,282.06 / $2,203.54	Professional		$888.38	$1,282.06	$2,203.54