Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.69 / $1,609.00 / $5,430.00	Facility		$859.69	$1,609.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.64 / $873.60 / $1,520.38	Professional		$790.64	$873.60	$1,520.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.52 / $8,622.15 / $16,643.58	Facility		$3,981.52	$8,622.15	$16,643.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $875.00 / $5,676.58	Facility		$400.00	$875.00	$5,676.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.06 / $1,153.53 / $1,855.89	Professional		$797.06	$1,153.53	$1,855.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $884.73 / $1,363.60 / $3,679.23	Professional		$884.73	$1,363.60	$3,679.23
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 $1,006.43 / $1,042.76 / $1,150.11	Professional		$1,006.43	$1,042.76	$1,150.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,300.52	Professional		$32.34	$32.34	$1,300.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $810.84 / $1,191.35 / $1,901.56	Professional		$810.84	$1,191.35	$1,901.56