Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.70 / $1,826.27 / $5,091.00	Facility		$650.70	$1,826.27	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.95 / $650.70 / $1,176.83	Professional		$531.95	$650.70	$1,176.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,971.13 / $6,976.02 / $15,215.59	Facility		$3,971.13	$6,976.02	$15,215.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.69 / $923.79 / $1,337.31	Professional		$602.69	$923.79	$1,337.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $696.59 / $1,069.18 / $2,671.21	Professional		$696.59	$1,069.18	$2,671.21
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 $754.64 / $812.83 / $905.15	Professional		$754.64	$812.83	$905.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,023.52	Professional		$32.34	$32.34	$1,023.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,803.00 / $8,995.00	Facility		$1,600.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $581.00 / $817.21 / $1,402.96	Professional		$581.00	$817.21	$1,402.96