Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.24 / $1,609.00 / $5,549.00	Facility		$653.24	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.24 / $670.36 / $1,221.89	Professional		$653.24	$670.36	$1,221.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,669.26 / $7,869.09 / $18,305.84	Facility		$2,669.26	$7,869.09	$18,305.84
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 $698.39 / $942.91 / $1,349.15	Professional		$698.39	$942.91	$1,349.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $692.10 / $1,095.83 / $3,408.28	Professional		$692.10	$1,095.83	$3,408.28
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 $771.15 / $817.93 / $890.37	Professional		$771.15	$817.93	$890.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,027.34	Professional		$32.34	$32.34	$1,027.34
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 $692.68 / $945.50 / $1,452.23	Professional		$692.68	$945.50	$1,452.23