Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.55 / $2,784.00 / $7,123.00	Facility		$909.55	$2,784.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $909.55 / $929.25 / $1,709.57	Professional		$909.55	$929.25	$1,709.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,652.26 / $14,229.44 / $28,494.45	Facility		$6,652.26	$14,229.44	$28,494.45
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 $940.34 / $1,292.68 / $1,844.13	Professional		$940.34	$1,292.68	$1,844.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $962.91 / $1,510.40 / $3,741.50	Professional		$962.91	$1,510.40	$3,741.50
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 $1,066.95 / $1,137.98 / $1,236.27	Professional		$1,066.95	$1,137.98	$1,236.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,426.47	Professional		$32.34	$32.34	$1,426.47
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 $941.94 / $1,316.48 / $2,030.48	Professional		$941.94	$1,316.48	$2,030.48