Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.38 / $2,800.00 / $5,580.00	Facility		$966.38	$2,800.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.87 / $1,094.63 / $1,582.36	Professional		$864.87	$1,094.63	$1,582.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,182.43 / $9,103.91 / $19,856.79	Facility		$5,182.43	$9,103.91	$19,856.79
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 $797.62 / $1,145.69 / $1,674.47	Professional		$797.62	$1,145.69	$1,674.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $780.37 / $1,310.93 / $3,811.59	Professional		$780.37	$1,310.93	$3,811.59
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 $1,043.73 / $1,052.21 / $1,145.69	Professional		$1,043.73	$1,052.21	$1,145.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,295.51	Professional		$32.34	$32.34	$1,295.51
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 $761.84 / $1,025.51 / $1,820.05	Professional		$761.84	$1,025.51	$1,820.05