Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.64 / $1,972.00 / $5,393.00	Facility		$769.64	$1,972.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.64 / $815.38 / $1,475.47	Professional		$769.64	$815.38	$1,475.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,628.99 / $12,040.64 / $24,111.38	Facility		$5,628.99	$12,040.64	$24,111.38
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 $777.41 / $1,088.47 / $1,584.89	Professional		$777.41	$1,088.47	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $815.21 / $1,267.28 / $4,105.51	Professional		$815.21	$1,267.28	$4,105.51
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 $906.52 / $963.43 / $1,048.15	Professional		$906.52	$963.43	$1,048.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,209.41	Professional		$32.34	$32.34	$1,209.41
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $795.97 / $1,093.69 / $1,830.55	Professional		$795.97	$1,093.69	$1,830.55