Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.83 / $1,842.00 / $5,549.00	Facility		$975.83	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.75 / $975.83 / $1,683.95	Professional		$815.75	$975.83	$1,683.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.52 / $7,113.50 / $16,548.14	Facility		$2,137.52	$7,113.50	$16,548.14
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 $867.74 / $1,250.80 / $2,079.19	Professional		$867.74	$1,250.80	$2,079.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.08 / $1,289.89 / $3,764.92	Professional		$831.08	$1,289.89	$3,764.92
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 $860.18 / $1,016.28 / $1,140.48	Professional		$860.18	$1,016.28	$1,140.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,289.61	Professional		$32.34	$32.34	$1,289.61
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,481.00 / $4,256.00	Facility		$600.00	$1,481.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $917.76 / $1,300.61 / $2,208.13	Professional		$917.76	$1,300.61	$2,208.13