Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.19 / $1,842.00 / $5,389.00	Facility		$945.19	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.71 / $945.19 / $1,509.95	Professional		$745.71	$945.19	$1,509.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,156.07 / $9,928.21 / $19,755.75	Facility		$5,156.07	$9,928.21	$19,755.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $878.14 / $1,189.83 / $1,708.74	Professional		$878.14	$1,189.83	$1,708.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $878.14 / $1,380.80 / $3,491.58	Professional		$878.14	$1,380.80	$3,491.58
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 $987.71 / $1,037.80 / $1,141.52	Professional		$987.71	$1,037.80	$1,141.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,317.14	Professional		$32.34	$32.34	$1,317.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $6,359.00 / $12,442.00	Facility		$1,300.00	$6,359.00	$12,442.00
United Facility/Professional Professional Modifier Low / Median / High Price $847.74 / $1,260.58 / $1,908.50	Professional		$847.74	$1,260.58	$1,908.50