Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,836.00 / $7,000.00	Facility		$825.00	$2,836.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.99 / $640.37 / $1,157.04	Professional		$530.99	$640.37	$1,157.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,436.83 / $9,832.87 / $14,973.99	Facility		$6,436.83	$9,832.87	$14,973.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $6,831.39 / $7,626.43	Facility		$996.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.04 / $923.86 / $1,328.65	Professional		$643.04	$923.86	$1,328.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $720.21 / $1,063.16 / $2,602.39	Professional		$720.21	$1,063.16	$2,602.39
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 $745.84 / $800.68 / $891.68	Professional		$745.84	$800.68	$891.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,008.29	Professional		$32.34	$32.34	$1,008.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.53 / $796.36 / $1,378.44	Professional		$588.53	$796.36	$1,378.44