Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.74 / $1,544.00 / $5,091.00	Facility		$385.74	$1,544.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.71 / $607.79 / $3,263.90	Professional		$195.71	$607.79	$3,263.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,786.49 / $8,390.51 / $21,188.85	Facility		$3,786.49	$8,390.51	$21,188.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $17,688.28 / $19,746.84	Facility		$463.00	$17,688.28	$19,746.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.98 / $736.82 / $5,697.66	Professional		$184.98	$736.82	$5,697.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $4,263.84 / $6,605.92	Professional		$345.40	$4,263.84	$6,605.92
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 $499.95 / $601.03 / $4,907.25	Professional		$499.95	$601.03	$4,907.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,548.97	Professional		$32.34	$32.34	$5,548.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,934.00 / $14,716.00	Facility		$2,575.00	$6,934.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.14 / $1,986.33 / $4,442.46	Professional		$218.14	$1,986.33	$4,442.46