Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.32 / $2,758.00 / $5,580.00	Facility		$939.32	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.51 / $939.32 / $1,549.35	Professional		$738.51	$939.32	$1,549.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,124.09 / $9,928.21 / $19,633.24	Facility		$5,124.09	$9,928.21	$19,633.24
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 $780.97 / $1,163.42 / $1,675.93	Professional		$780.97	$1,163.42	$1,675.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $859.19 / $1,327.84 / $3,263.40	Professional		$859.19	$1,327.84	$3,263.40
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 $980.89 / $1,015.40 / $1,120.33	Professional		$980.89	$1,015.40	$1,120.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,292.69	Professional		$32.34	$32.34	$1,292.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $780.94 / $1,082.28 / $1,844.67	Professional		$780.94	$1,082.28	$1,844.67