Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.14 / $1,749.75 / $5,549.00	Facility		$895.14	$1,749.75	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $895.14 / $912.75 / $1,675.49	Professional		$895.14	$912.75	$1,675.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,546.90 / $14,004.08 / $28,043.17	Facility		$6,546.90	$14,004.08	$28,043.17
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 $924.75 / $1,262.81 / $1,823.32	Professional		$924.75	$1,262.81	$1,823.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $946.72 / $1,471.71 / $3,674.49	Professional		$946.72	$1,471.71	$3,674.49
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 $1,050.73 / $1,118.84 / $1,216.03	Professional		$1,050.73	$1,118.84	$1,216.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,403.12	Professional		$32.34	$32.34	$1,403.12
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 $944.84 / $1,238.46 / $1,990.63	Professional		$944.84	$1,238.46	$1,990.63