Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.90 / $1,842.00 / $5,430.00	Facility		$916.90	$1,842.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.83 / $916.90 / $1,679.21	Professional		$762.83	$916.90	$1,679.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,070.62 / $10,697.75 / $21,440.40	Facility		$7,070.62	$10,697.75	$21,440.40
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 $900.98 / $1,297.83 / $1,902.51	Professional		$900.98	$1,297.83	$1,902.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,022.07 / $1,493.54 / $3,803.07	Professional		$1,022.07	$1,493.54	$3,803.07
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 $1,062.40 / $1,142.11 / $1,265.42	Professional		$1,062.40	$1,142.11	$1,265.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,430.90	Professional		$32.34	$32.34	$1,430.90
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 $860.76 / $1,180.58 / $2,081.92	Professional		$860.76	$1,180.58	$2,081.92