Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.01 / $2,758.00 / $5,580.00	Facility		$927.01	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.55 / $927.01 / $1,685.85	Professional		$765.55	$927.01	$1,685.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $9,938.29 / $21,676.70	Facility		$4,464.57	$9,938.29	$21,676.70
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 $916.08 / $1,336.26 / $1,924.52	Professional		$916.08	$1,336.26	$1,924.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.04 / $1,520.79 / $3,736.07	Professional		$1,029.04	$1,520.79	$3,736.07
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 $1,066.22 / $1,156.16 / $1,286.77	Professional		$1,066.22	$1,156.16	$1,286.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,455.04	Professional		$32.34	$32.34	$1,455.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $848.45 / $1,149.23 / $2,011.34	Professional		$848.45	$1,149.23	$2,011.34