Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,000.00 / $5,389.00	Facility		$800.00	$2,000.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.33 / $1,251.29 / $2,215.17	Professional		$1,130.33	$1,251.29	$2,215.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,151.74 / $19,575.91 / $39,200.76	Facility		$9,151.74	$19,575.91	$39,200.76
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 $1,138.16 / $1,762.46 / $2,323.84	Professional		$1,138.16	$1,762.46	$2,323.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,277.56 / $1,986.03 / $4,467.71	Professional		$1,277.56	$1,986.03	$4,467.71
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 $1,319.49 / $1,509.85 / $1,697.19	Professional		$1,319.49	$1,509.85	$1,697.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,958.30	Professional		$32.34	$32.34	$1,958.30
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,553.00 / $4,183.00	Facility		$385.00	$1,553.00	$4,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,179.01 / $1,553.52 / $2,690.92	Professional		$1,179.01	$1,553.52	$2,690.92