Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,662.20 / $5,430.00	Facility		$755.00	$1,662.20	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.94 / $730.41 / $1,266.09	Professional		$604.94	$730.41	$1,266.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,457.59 / $9,534.95 / $19,093.75	Facility		$4,457.59	$9,534.95	$19,093.75
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 $698.85 / $1,043.10 / $1,441.43	Professional		$698.85	$1,043.10	$1,441.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.87 / $1,189.27 / $2,575.21	Professional		$794.87	$1,189.27	$2,575.21
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 $845.83 / $904.12 / $1,007.18	Professional		$845.83	$904.12	$1,007.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,138.88	Professional		$32.34	$32.34	$1,138.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $651.41 / $877.49 / $1,516.89	Professional		$651.41	$877.49	$1,516.89