Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.81 / $2,232.00 / $5,405.00	Facility		$950.81	$2,232.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.03 / $1,042.65 / $1,498.61	Professional		$821.03	$1,042.65	$1,498.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,992.33 / $8,957.20 / $19,536.80	Facility		$4,992.33	$8,957.20	$19,536.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.58 / $1,062.64 / $1,566.64	Professional		$776.58	$1,062.64	$1,566.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $748.84 / $1,243.08 / $3,350.68	Professional		$748.84	$1,243.08	$3,350.68
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 $1,010.01 / $1,011.82 / $1,105.14	Professional		$1,010.01	$1,011.82	$1,105.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,249.66	Professional		$32.34	$32.34	$1,249.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $717.85 / $950.78 / $1,638.40	Professional		$717.85	$950.78	$1,638.40