Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,232.00 / $5,405.00	Facility		$923.00	$2,232.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.80 / $1,120.11 / $2,105.10	Professional		$1,025.80	$1,120.11	$2,105.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $10,791.55 / $21,992.53	Facility		$7,091.59	$10,791.55	$21,992.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.91 / $1,470.18 / $2,075.25	Professional		$1,053.91	$1,470.18	$2,075.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.06 / $1,763.35 / $6,128.39	Professional		$1,093.06	$1,763.35	$6,128.39
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 $1,266.61 / $1,368.32 / $1,515.63	Professional		$1,266.61	$1,368.32	$1,515.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,748.81	Professional		$32.34	$32.34	$1,748.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,978.00 / $12,241.00	Facility		$2,100.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,050.74 / $1,437.49 / $2,467.46	Professional		$1,050.74	$1,437.49	$2,467.46