Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.30 / $2,026.00 / $5,389.00	Facility		$424.30	$2,026.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.07 / $1,751.77 / $3,144.00	Professional		$224.07	$1,751.77	$3,144.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,638.79 / $3,330.16 / $6,279.11	Facility		$1,638.79	$3,330.16	$6,279.11
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 $261.68 / $1,715.16 / $3,635.22	Professional		$261.68	$1,715.16	$3,635.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $315.69 / $2,940.43 / $4,432.97	Professional		$315.69	$2,940.43	$4,432.97
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 $265.25 / $283.04 / $2,940.43	Professional		$265.25	$283.04	$2,940.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,392.81	Professional		$32.34	$32.34	$3,392.81
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,588.00 / $5,026.00	Facility		$749.00	$2,588.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,785.92 / $2,524.92 / $4,529.87	Professional		$1,785.92	$2,524.92	$4,529.87