Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,989.00 / $7,125.00	Facility		$923.00	$2,989.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.53 / $903.52 / $1,338.22	Professional		$708.53	$903.52	$1,338.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,930.15 / $8,118.01 / $18,884.93	Facility		$1,930.15	$8,118.01	$18,884.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $726.57 / $1,093.18 / $1,568.15	Professional		$726.57	$1,093.18	$1,568.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $806.80 / $1,243.16 / $2,941.04	Professional		$806.80	$1,243.16	$2,941.04
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 $923.91 / $953.49 / $1,052.70	Professional		$923.91	$953.49	$1,052.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,214.66	Professional		$32.34	$32.34	$1,214.66
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $739.42 / $1,031.69 / $1,777.14	Professional		$739.42	$1,031.69	$1,777.14