Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $980.35 / $2,758.00 / $5,580.00	Facility		$980.35	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.60 / $980.35 / $1,786.57	Professional		$808.60	$980.35	$1,786.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $10,510.16 / $22,923.98	Facility		$4,464.57	$10,510.16	$22,923.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.05 / $1,422.74 / $1,995.26	Professional		$988.05	$1,422.74	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,119.04 / $1,646.13 / $4,503.93	Professional		$1,119.04	$1,646.13	$4,503.93
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 $1,123.98 / $1,222.48 / $1,360.74	Professional		$1,123.98	$1,222.48	$1,360.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,538.68	Professional		$32.34	$32.34	$1,538.68
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 $895.49 / $1,264.59 / $2,129.06	Professional		$895.49	$1,264.59	$2,129.06