Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.07 / $2,118.00 / $5,389.00	Facility		$687.07	$2,118.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.12 / $1,220.24 / $1,970.27	Professional		$384.12	$1,220.24	$1,970.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,953.72 / $5,404.82 / $10,832.33	Facility		$2,953.72	$5,404.82	$10,832.33
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 $419.60 / $926.99 / $2,445.42	Professional		$419.60	$926.99	$2,445.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $447.73 / $1,688.81 / $3,794.66	Professional		$447.73	$1,688.81	$3,794.66
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 $372.81 / $447.73 / $1,642.03	Professional		$372.81	$447.73	$1,642.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,856.76	Professional		$32.34	$32.34	$1,856.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,381.87 / $2,222.64 / $3,326.04	Professional		$1,381.87	$2,222.64	$3,326.04