Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.13 / $1,816.85 / $5,430.00	Facility		$812.13	$1,816.85	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.90 / $812.13 / $1,370.36	Professional		$680.90	$812.13	$1,370.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $8,706.69 / $18,990.40	Facility		$4,295.45	$8,706.69	$18,990.40
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 $798.20 / $1,137.57 / $1,576.96	Professional		$798.20	$1,137.57	$1,576.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $875.39 / $1,299.92 / $2,807.03	Professional		$875.39	$1,299.92	$2,807.03
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 $943.22 / $988.25 / $1,102.08	Professional		$943.22	$988.25	$1,102.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,246.21	Professional		$32.34	$32.34	$1,246.21
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 $696.51 / $977.27 / $1,654.22	Professional		$696.51	$977.27	$1,654.22