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 $598.13 / $750.92 / $1,399.78	Professional		$598.13	$750.92	$1,399.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,582.80 / $9,802.79 / $19,630.09	Facility		$4,582.80	$9,802.79	$19,630.09
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 $736.08 / $1,083.13 / $1,595.85	Professional		$736.08	$1,083.13	$1,595.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $842.44 / $1,251.33 / $3,569.46	Professional		$842.44	$1,251.33	$3,569.46
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 $802.40 / $929.57 / $1,043.02	Professional		$802.40	$929.57	$1,043.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,179.41	Professional		$32.34	$32.34	$1,179.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.26 / $1,042.88 / $1,655.34	Professional		$713.26	$1,042.88	$1,655.34