Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.03 / $1,451.00 / $5,091.00	Facility		$740.03	$1,451.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.98 / $740.03 / $1,344.94	Professional		$611.98	$740.03	$1,344.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $7,933.73 / $17,304.47	Facility		$4,295.45	$7,933.73	$17,304.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $3,072.73 / $3,430.33	Facility		$463.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.70 / $1,064.94 / $1,530.15	Professional		$709.70	$1,064.94	$1,530.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $830.12 / $1,214.51 / $3,006.24	Professional		$830.12	$1,214.51	$3,006.24
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 $854.46 / $923.31 / $1,027.77	Professional		$854.46	$923.31	$1,027.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,162.17	Professional		$32.34	$32.34	$1,162.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,803.00 / $8,821.00	Facility		$1,787.00	$4,803.00	$8,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $689.61 / $940.88 / $1,603.00	Professional		$689.61	$940.88	$1,603.00