Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.77 / $1,609.00 / $5,549.00	Facility		$841.77	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.80 / $841.77 / $1,362.64	Professional		$650.80	$841.77	$1,362.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,591.93 / $9,822.32 / $19,669.18	Facility		$4,591.93	$9,822.32	$19,669.18
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 $784.59 / $1,098.47 / $1,677.91	Professional		$784.59	$1,098.47	$1,677.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $777.52 / $1,236.97 / $3,029.78	Professional		$777.52	$1,236.97	$3,029.78
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 $805.47 / $918.89 / $1,030.64	Professional		$805.47	$918.89	$1,030.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,189.20	Professional		$32.34	$32.34	$1,189.20
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 $793.08 / $1,115.18 / $1,755.20	Professional		$793.08	$1,115.18	$1,755.20