Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.01 / $1,835.80 / $5,549.00	Facility		$939.01	$1,835.80	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.01 / $993.85 / $1,759.86	Professional		$939.01	$993.85	$1,759.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,867.76 / $14,690.40 / $29,417.52	Facility		$6,867.76	$14,690.40	$29,417.52
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 $971.24 / $1,327.26 / $1,910.05	Professional		$971.24	$1,327.26	$1,910.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $994.98 / $1,546.75 / $4,549.20	Professional		$994.98	$1,546.75	$4,549.20
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 $1,103.08 / $1,175.89 / $1,278.09	Professional		$1,103.08	$1,175.89	$1,278.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,474.73	Professional		$32.34	$32.34	$1,474.73
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $988.72 / $1,344.32 / $2,092.21	Professional		$988.72	$1,344.32	$2,092.21