Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.75 / $2,989.00 / $5,549.00	Facility		$839.75	$2,989.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.63 / $787.21 / $1,022.29	Professional		$491.63	$787.21	$1,022.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,800.35 / $1,800.35 / $2,463.63	Professional		$1,800.35	$1,800.35	$2,463.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $908.00	Facility		$400.00	$785.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.13 / $1,287.80 / $1,819.97	Professional		$744.13	$1,287.80	$1,819.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,541.64 / $2,452.61 / $7,801.04	Professional		$1,541.64	$2,452.61	$7,801.04
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 $1,791.24 / $1,821.94 / $2,053.03	Professional		$1,791.24	$1,821.94	$2,053.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $709.66 / $1,650.45 / $2,941.67	Professional		$709.66	$1,650.45	$2,941.67