Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.40 / $1,609.00 / $5,549.00	Facility		$963.40	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.02 / $963.40 / $1,557.15	Professional		$745.02	$963.40	$1,557.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,255.44 / $11,241.60 / $22,511.30	Facility		$5,255.44	$11,241.60	$22,511.30
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 $898.25 / $1,253.30 / $1,724.60	Professional		$898.25	$1,253.30	$1,724.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $890.15 / $1,406.90 / $3,446.31	Professional		$890.15	$1,406.90	$3,446.31
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 $921.84 / $1,052.00 / $1,179.98	Professional		$921.84	$1,052.00	$1,179.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,361.52	Professional		$32.34	$32.34	$1,361.52
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $892.78 / $1,156.88 / $2,168.62	Professional		$892.78	$1,156.88	$2,168.62