Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $1,842.00 / $5,091.00	Facility		$923.00	$1,842.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.92 / $977.06 / $1,810.77	Professional		$814.92	$977.06	$1,810.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,654.39 / $11,147.83 / $22,311.23	Facility		$7,654.39	$11,147.83	$22,311.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $6,011.78 / $6,711.43	Facility		$620.00	$6,011.78	$6,711.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.57 / $1,392.16 / $2,003.86	Professional		$914.57	$1,392.16	$2,003.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.58 / $1,613.63 / $4,789.21	Professional		$1,042.58	$1,613.63	$4,789.21
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 $1,128.91 / $1,232.14 / $1,371.07	Professional		$1,128.91	$1,232.14	$1,371.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,550.36	Professional		$32.34	$32.34	$1,550.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $888.25 / $1,245.00 / $2,159.01	Professional		$888.25	$1,245.00	$2,159.01