Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,095.00 / $5,393.00	Facility		$711.00	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.03 / $690.71 / $1,251.81	Professional		$572.03	$690.71	$1,251.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,215.31 / $7,404.98 / $16,151.19	Facility		$4,215.31	$7,404.98	$16,151.19
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 $672.28 / $980.17 / $1,415.22	Professional		$672.28	$980.17	$1,415.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $755.23 / $1,134.11 / $2,466.56	Professional		$755.23	$1,134.11	$2,466.56
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 $801.11 / $862.20 / $959.75	Professional		$801.11	$862.20	$959.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,085.26	Professional		$32.34	$32.34	$1,085.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.22 / $859.84 / $1,492.39	Professional		$617.22	$859.84	$1,492.39