Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.91 / $1,842.00 / $5,430.00	Facility		$990.91	$1,842.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.45 / $990.91 / $1,816.81	Professional		$816.45	$990.91	$1,816.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,047.43 / $12,935.68 / $25,903.69	Facility		$6,047.43	$12,935.68	$25,903.69
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 $994.84 / $1,427.90 / $2,033.29	Professional		$994.84	$1,427.90	$2,033.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,110.58 / $1,625.37 / $5,036.35	Professional		$1,110.58	$1,625.37	$5,036.35
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 $1,133.70 / $1,235.66 / $1,375.01	Professional		$1,133.70	$1,235.66	$1,375.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,554.82	Professional		$32.34	$32.34	$1,554.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $8,100.00 / $24,003.00	Facility		$2,600.00	$8,100.00	$24,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $909.59 / $1,212.50 / $2,161.88	Professional		$909.59	$1,212.50	$2,161.88