Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $5,470.10	Facility		$0.02	$0.03	$5,470.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $2,805.18 / $4,865.91	Professional		$0.02	$2,805.18	$4,865.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $3,810.36 / $30,923.82	Facility		$19.95	$3,810.36	$30,923.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,219.76 / $5,713.20 / $10,761.52	Facility		$3,219.76	$5,713.20	$10,761.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.72 / $2,847.32 / $3,945.89	Professional		$1,195.72	$2,847.32	$3,945.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,384.40 / $3,296.09 / $4,909.07	Professional		$2,384.40	$3,296.09	$4,909.07
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 $3,038.95 / $3,038.95 / $3,038.95	Professional		$3,038.95	$3,038.95	$3,038.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,179.20 / $3,179.20 / $3,506.48	Professional		$3,179.20	$3,179.20	$3,506.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,805.18 / $2,805.18 / $2,805.18	Facility		$2,805.18	$2,805.18	$2,805.18
United Facility/Professional Professional Modifier Low / Median / High Price $981.81 / $1,402.59 / $2,337.65	Professional		$981.81	$1,402.59	$2,337.65