Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.80 / $2,836.00 / $7,000.00	Facility		$964.80	$2,836.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.87 / $964.80 / $1,755.78	Professional		$795.87	$964.80	$1,755.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,697.99 / $17,616.97 / $24,213.50	Facility		$9,697.99	$17,616.97	$24,213.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $19,541.86 / $21,816.15	Facility		$996.00	$19,541.86	$21,816.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.07 / $1,384.40 / $1,975.03	Professional		$932.07	$1,384.40	$1,975.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,095.63 / $1,582.28 / $3,813.94	Professional		$1,095.63	$1,582.28	$3,813.94
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 $1,106.31 / $1,202.90 / $1,339.03	Professional		$1,106.31	$1,202.90	$1,339.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,514.13	Professional		$32.34	$32.34	$1,514.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $8,100.00 / $21,651.00	Facility		$2,600.00	$8,100.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $879.26 / $1,212.36 / $2,096.21	Professional		$879.26	$1,212.36	$2,096.21