Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.84 / $1,557.82 / $5,389.00	Facility		$749.84	$1,557.82	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.07 / $785.30 / $1,557.82	Professional		$734.07	$785.30	$1,557.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,897.67 / $8,084.07 / $18,805.97	Facility		$3,897.67	$8,084.07	$18,805.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $874.74 / $1,182.55 / $1,776.28	Professional		$874.74	$1,182.55	$1,776.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $874.74 / $1,359.83 / $3,631.03	Professional		$874.74	$1,359.83	$3,631.03
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 $990.35 / $1,033.79 / $1,138.75	Professional		$990.35	$1,033.79	$1,138.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,313.94	Professional		$32.34	$32.34	$1,313.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $866.87 / $1,244.36 / $1,852.05	Professional		$866.87	$1,244.36	$1,852.05