Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.41 / $2,118.00 / $5,393.00	Facility		$884.41	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.86 / $884.41 / $1,501.83	Professional		$746.86	$884.41	$1,501.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $9,481.56 / $20,680.48	Facility		$4,295.45	$9,481.56	$20,680.48
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 $871.42 / $1,244.88 / $1,762.39	Professional		$871.42	$1,244.88	$1,762.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $972.05 / $1,419.16 / $3,835.67	Professional		$972.05	$1,419.16	$3,835.67
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 $1,024.89 / $1,078.90 / $1,203.49	Professional		$1,024.89	$1,078.90	$1,203.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,360.87	Professional		$32.34	$32.34	$1,360.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $784.00 / $1,105.67 / $1,840.25	Professional		$784.00	$1,105.67	$1,840.25