Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,747.00 / $7,780.00	Facility		$813.00	$2,747.00	$7,780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.38 / $738.05 / $1,279.99	Professional		$586.38	$738.05	$1,279.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,038.23 / $6,881.35 / $15,009.09	Facility		$2,038.23	$6,881.35	$15,009.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,279.13 / $1,383.00 / $1,434.00	Facility		$1,279.13	$1,383.00	$1,434.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.23 / $984.16 / $1,495.66	Professional		$669.23	$984.16	$1,495.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $790.20 / $1,180.30 / $2,786.30	Professional		$790.20	$1,180.30	$2,786.30
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 $765.27 / $805.45 / $1,092.33	Professional		$765.27	$805.45	$1,092.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,235.18	Professional		$32.34	$32.34	$1,235.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.59 / $1,007.34 / $1,689.93	Professional		$737.59	$1,007.34	$1,689.93