Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $2,989.00 / $7,407.00	Facility		$791.70	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $791.70	Professional		$791.70	$791.70	$791.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,908.82 / $14,778.24 / $29,593.42	Facility		$6,908.82	$14,778.24	$29,593.42
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 $385.00 / $1,143.44 / $2,450.67	Professional		$385.00	$1,143.44	$2,450.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.59 / $2,022.39 / $5,416.67	Professional		$1,308.59	$2,022.39	$5,416.67
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 $1,510.42 / $1,546.53 / $1,661.78	Professional		$1,510.42	$1,546.53	$1,661.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
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 $1,026.76 / $1,405.04 / $2,132.58	Professional		$1,026.76	$1,405.04	$2,132.58