Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.73 / $1,842.00 / $5,389.00	Facility		$798.73	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.73 / $815.85 / $1,499.96	Professional		$798.73	$815.85	$1,499.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,621.73 / $22,070.63 / $34,201.32	Facility		$9,621.73	$22,070.63	$34,201.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.54 / $1,130.70 / $1,646.95	Professional		$811.54	$1,130.70	$1,646.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $847.40 / $1,340.08 / $3,754.18	Professional		$847.40	$1,340.08	$3,754.18
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 $940.56 / $1,001.47 / $1,088.82	Professional		$940.56	$1,001.47	$1,088.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,256.33	Professional		$32.34	$32.34	$1,256.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.00 / $8,141.00 / $21,651.00	Facility		$2,276.00	$8,141.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $827.17 / $1,136.16 / $1,862.09	Professional		$827.17	$1,136.16	$1,862.09