Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,157.00 / $5,393.00	Facility		$923.00	$2,157.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.34 / $1,092.57 / $2,010.36	Professional		$893.34	$1,092.57	$2,010.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $11,713.25 / $25,548.09	Facility		$4,464.57	$11,713.25	$25,548.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.41 / $1,494.61 / $2,218.56	Professional		$626.41	$1,494.61	$2,218.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $991.42 / $1,783.69 / $4,518.42	Professional		$991.42	$1,783.69	$4,518.42
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 $1,253.51 / $1,364.00 / $1,517.96	Professional		$1,253.51	$1,364.00	$1,517.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,716.46	Professional		$32.34	$32.34	$1,716.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $750.55 / $1,278.29 / $2,390.11	Professional		$750.55	$1,278.29	$2,390.11