Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.64 / $1,770.77 / $5,549.00	Facility		$905.64	$1,770.77	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.64 / $923.77 / $1,697.22	Professional		$905.64	$923.77	$1,697.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,623.68 / $14,168.32 / $28,372.06	Facility		$6,623.68	$14,168.32	$28,372.06
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 $943.72 / $1,278.70 / $1,864.69	Professional		$943.72	$1,278.70	$1,864.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $958.61 / $1,495.05 / $3,717.96	Professional		$958.61	$1,495.05	$3,717.96
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 $1,063.60 / $1,132.90 / $1,231.33	Professional		$1,063.60	$1,132.90	$1,231.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,420.77	Professional		$32.34	$32.34	$1,420.77
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 $947.81 / $1,377.05 / $2,015.54	Professional		$947.81	$1,377.05	$2,015.54