Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,039.85 / $5,389.00	Facility		$923.00	$2,039.85	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $899.60 / $1,116.41 / $2,037.87	Professional		$899.60	$1,116.41	$2,037.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,687.00 / $12,587.66 / $27,455.27	Facility		$2,687.00	$12,587.66	$27,455.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,799.73 / $2,009.18	Facility		$620.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.23 / $1,605.02 / $2,211.58	Professional		$904.23	$1,605.02	$2,211.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,078.92 / $1,899.09 / $3,816.52	Professional		$1,078.92	$1,899.09	$3,816.52
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 $1,219.65 / $1,471.80 / $1,701.04	Professional		$1,219.65	$1,471.80	$1,701.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,923.48	Professional		$32.34	$32.34	$1,923.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $882.23 / $1,336.71 / $2,560.77	Professional		$882.23	$1,336.71	$2,560.77