Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,118.00 / $5,393.00	Facility		$923.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.31 / $938.68 / $1,716.83	Professional		$775.31	$938.68	$1,716.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,989.29 / $21,949.54	Facility		$8,538.45	$11,989.29	$21,949.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.24 / $1,401.31 / $3,818.41	Professional		$949.24	$1,401.31	$3,818.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,054.51 / $1,542.78 / $3,804.88	Professional		$1,054.51	$1,542.78	$3,804.88
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 $1,082.71 / $1,172.86 / $1,305.63	Professional		$1,082.71	$1,172.86	$1,305.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,476.37	Professional		$32.34	$32.34	$1,476.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,132.00 / $5,951.00 / $12,241.00	Facility		$2,132.00	$5,951.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $880.23 / $1,175.59 / $2,043.88	Professional		$880.23	$1,175.59	$2,043.88