Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.72 / $1,855.69 / $5,549.00	Facility		$987.72	$1,855.69	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.72 / $1,009.94 / $1,855.69	Professional		$987.72	$1,009.94	$1,855.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,224.03 / $15,452.48 / $30,943.59	Facility		$7,224.03	$15,452.48	$30,943.59
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 $1,031.26 / $1,402.91 / $2,037.99	Professional		$1,031.26	$1,402.91	$2,037.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.16 / $1,654.67 / $4,054.80	Professional		$1,047.16	$1,654.67	$4,054.80
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 $1,161.03 / $1,237.55 / $1,344.42	Professional		$1,161.03	$1,237.55	$1,344.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,551.26	Professional		$32.34	$32.34	$1,551.26
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 $1,023.14 / $1,480.81 / $2,206.26	Professional		$1,023.14	$1,480.81	$2,206.26