Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.10 / $2,800.00 / $5,580.00	Facility		$967.10	$2,800.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.54 / $1,034.33 / $1,526.94	Professional		$865.54	$1,034.33	$1,526.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,186.33 / $9,110.75 / $19,871.68	Facility		$5,186.33	$9,110.75	$19,871.68
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 $799.98 / $1,146.54 / $1,675.72	Professional		$799.98	$1,146.54	$1,675.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $780.98 / $1,311.92 / $3,815.41	Professional		$780.98	$1,311.92	$3,815.41
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 $1,044.56 / $1,053.00 / $1,146.55	Professional		$1,044.56	$1,053.00	$1,146.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,296.48	Professional		$32.34	$32.34	$1,296.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $766.49 / $1,030.09 / $1,830.91	Professional		$766.49	$1,030.09	$1,830.91