Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.70 / $1,972.00 / $5,389.00	Facility		$705.70	$1,972.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.47 / $705.70 / $1,278.16	Professional		$583.47	$705.70	$1,278.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,093.54 / $10,053.12 / $16,501.71	Facility		$7,093.54	$10,053.12	$16,501.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.86 / $1,050.76 / $1,489.22	Professional		$712.86	$1,050.76	$1,489.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $806.74 / $1,206.72 / $2,866.79	Professional		$806.74	$1,206.72	$2,866.79
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 $814.87 / $880.54 / $980.46	Professional		$814.87	$880.54	$980.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,108.67	Professional		$32.34	$32.34	$1,108.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $656.74 / $932.91 / $1,527.05	Professional		$656.74	$932.91	$1,527.05