Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.91 / $3,073.00 / $7,723.00	Facility		$769.91	$3,073.00	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.96 / $769.91 / $1,058.22	Professional		$731.96	$769.91	$1,058.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,905.87 / $18,554.66 / $23,972.10	Facility		$14,905.87	$18,554.66	$23,972.10
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 $723.70 / $982.35 / $1,258.61	Professional		$723.70	$982.35	$1,258.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $817.38 / $1,202.48 / $2,070.38	Professional		$817.38	$1,202.48	$2,070.38
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 $919.54 / $976.07 / $1,062.58	Professional		$919.54	$976.07	$1,062.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
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 $813.49 / $1,169.19 / $1,728.04	Professional		$813.49	$1,169.19	$1,728.04