Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,118.00 / $5,393.00	Facility		$923.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.16 / $972.34 / $1,772.33	Professional		$785.16	$972.34	$1,772.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,225.03 / $10,950.48 / $23,884.38	Facility		$1,225.03	$10,950.48	$23,884.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $929.98 / $1,038.21	Facility		$709.00	$929.98	$1,038.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.19 / $1,424.78 / $2,024.05	Professional		$818.19	$1,424.78	$2,024.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $984.63 / $1,641.98 / $3,022.47	Professional		$984.63	$1,641.98	$3,022.47
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 $1,067.29 / $1,280.02 / $1,478.24	Professional		$1,067.29	$1,280.02	$1,478.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,671.55	Professional		$32.34	$32.34	$1,671.55
United Facility/Professional Facility Modifier Low / Median / High Price $742.44 / $1,554.00 / $4,256.00	Facility		$742.44	$1,554.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.22 / $1,159.31 / $2,202.69	Professional		$790.22	$1,159.31	$2,202.69