Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,784.00 / $6,661.00	Facility		$825.00	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.03 / $686.14 / $1,249.07	Professional		$566.03	$686.14	$1,249.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,187.45 / $8,957.12 / $17,936.63	Facility		$4,187.45	$8,957.12	$17,936.63
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 $620.67 / $961.19 / $1,399.19	Professional		$620.67	$961.19	$1,399.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $769.64 / $1,121.47 / $3,498.83	Professional		$769.64	$1,121.47	$3,498.83
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 $789.23 / $856.26 / $952.89	Professional		$789.23	$856.26	$952.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,077.50	Professional		$32.34	$32.34	$1,077.50
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 $624.91 / $845.85 / $1,487.69	Professional		$624.91	$845.85	$1,487.69