Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.01 / $1,835.00 / $5,091.00	Facility		$662.01	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.14 / $662.01 / $1,158.34	Professional		$515.14	$662.01	$1,158.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,687.00 / $6,930.89 / $15,117.14	Facility		$2,687.00	$6,930.89	$15,117.14
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 $510.35 / $920.94 / $1,353.10	Professional		$510.35	$920.94	$1,353.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $633.29 / $1,062.43 / $2,515.32	Professional		$633.29	$1,062.43	$2,515.32
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 $695.81 / $812.45 / $935.34	Professional		$695.81	$812.45	$935.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,057.65	Professional		$32.34	$32.34	$1,057.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,493.00 / $6,482.00	Facility		$1,600.00	$3,493.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $562.52 / $796.65 / $1,406.66	Professional		$562.52	$796.65	$1,406.66