Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.95 / $1,835.00 / $5,091.00	Facility		$783.95	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.39 / $783.95 / $1,413.93	Professional		$649.39	$783.95	$1,413.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,880.11 / $10,233.92 / $18,331.50	Facility		$7,880.11	$10,233.92	$18,331.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $6,831.39 / $7,626.43	Facility		$620.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.45 / $1,132.73 / $1,629.67	Professional		$789.45	$1,132.73	$1,629.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $881.01 / $1,288.31 / $3,553.16	Professional		$881.01	$1,288.31	$3,553.16
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 $910.04 / $979.42 / $1,090.78	Professional		$910.04	$979.42	$1,090.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,233.42	Professional		$32.34	$32.34	$1,233.42
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 $719.42 / $969.88 / $1,684.52	Professional		$719.42	$969.88	$1,684.52