Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.40 / $1,842.00 / $5,430.00	Facility		$962.40	$1,842.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.78 / $962.40 / $1,759.49	Professional		$776.78	$962.40	$1,759.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,735.66 / $12,268.80 / $24,568.27	Facility		$5,735.66	$12,268.80	$24,568.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.94 / $1,384.22 / $1,997.00	Professional		$885.94	$1,384.22	$1,997.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.88 / $1,578.01 / $3,787.40	Professional		$1,016.88	$1,578.01	$3,787.40
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 $1,047.54 / $1,199.65 / $1,348.59	Professional		$1,047.54	$1,199.65	$1,348.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,524.95	Professional		$32.34	$32.34	$1,524.95
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,800.00 / $7,384.00	Facility		$800.00	$2,800.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $881.06 / $1,243.23 / $2,127.88	Professional		$881.06	$1,243.23	$2,127.88