Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.21 / $1,842.00 / $5,549.00	Facility		$955.21	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.21 / $975.63 / $1,793.16	Professional		$955.21	$975.63	$1,793.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,986.20 / $14,943.76 / $29,924.87	Facility		$6,986.20	$14,943.76	$29,924.87
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 $994.97 / $1,351.05 / $1,954.59	Professional		$994.97	$1,351.05	$1,954.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.94 / $1,589.01 / $3,920.79	Professional		$1,012.94	$1,589.01	$3,920.79
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 $1,122.20 / $1,197.10 / $1,301.01	Professional		$1,122.20	$1,197.10	$1,301.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,501.17	Professional		$32.34	$32.34	$1,501.17
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 $1,014.43 / $1,309.96 / $2,130.67	Professional		$1,014.43	$1,309.96	$2,130.67