Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.44 / $2,118.00 / $5,393.00	Facility		$876.44	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.87 / $876.44 / $1,601.32	Professional		$722.87	$876.44	$1,601.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $9,396.15 / $20,494.18	Facility		$4,295.45	$9,396.15	$20,494.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.43 / $1,250.43 / $1,820.47	Professional		$852.43	$1,250.43	$1,820.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $980.64 / $1,435.49 / $3,554.97	Professional		$980.64	$1,435.49	$3,554.97
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 $1,004.87 / $1,091.31 / $1,214.11	Professional		$1,004.87	$1,091.31	$1,214.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,372.89	Professional		$32.34	$32.34	$1,372.89
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 $817.12 / $1,101.30 / $1,906.67	Professional		$817.12	$1,101.30	$1,906.67