Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $2,548.96 / $5,389.00	Facility		$826.00	$2,548.96	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.24 / $1,377.56 / $2,548.96	Professional		$1,129.24	$1,377.56	$2,548.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,563.78 / $14,768.57 / $32,212.12	Facility		$8,563.78	$14,768.57	$32,212.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $9,150.70 / $10,215.67	Facility		$709.00	$9,150.70	$10,215.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $871.04 / $1,882.94 / $2,795.00	Professional		$871.04	$1,882.94	$2,795.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,129.72 / $2,188.19 / $5,664.77	Professional		$1,129.72	$2,188.19	$5,664.77
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 $1,569.96 / $1,718.93 / $1,912.37	Professional		$1,569.96	$1,718.93	$1,912.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,162.44	Professional		$32.34	$32.34	$2,162.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,978.00 / $12,442.00	Facility		$2,100.00	$5,978.00	$12,442.00
United Facility/Professional Professional Modifier Low / Median / High Price $913.00 / $1,560.51 / $3,029.88	Professional		$913.00	$1,560.51	$3,029.88