Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,989.00 / $7,125.00	Facility		$923.00	$2,989.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.63 / $791.85 / $1,395.92	Professional		$689.63	$791.85	$1,395.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,843.97 / $10,406.46 / $18,559.91	Facility		$4,843.97	$10,406.46	$18,559.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.17 / $1,149.92 / $1,577.60	Professional		$752.17	$1,149.92	$1,577.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $850.05 / $1,313.71 / $3,598.50	Professional		$850.05	$1,313.71	$3,598.50
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 $926.99 / $1,004.60 / $1,107.33	Professional		$926.99	$1,004.60	$1,107.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,277.69	Professional		$32.34	$32.34	$1,277.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $771.79 / $1,091.34 / $1,732.08	Professional		$771.79	$1,091.34	$1,732.08