Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,784.00 / $6,661.00	Facility		$825.00	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.66 / $742.10 / $1,412.65	Professional		$619.66	$742.10	$1,412.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,070.62 / $9,614.94 / $17,352.91	Facility		$7,070.62	$9,614.94	$17,352.91
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 $694.69 / $1,061.96 / $1,533.14	Professional		$694.69	$1,061.96	$1,533.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $825.97 / $1,205.78 / $2,886.71	Professional		$825.97	$1,205.78	$2,886.71
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 $865.42 / $922.06 / $1,022.63	Professional		$865.42	$922.06	$1,022.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,156.35	Professional		$32.34	$32.34	$1,156.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $692.13 / $938.34 / $1,642.26	Professional		$692.13	$938.34	$1,642.26