Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,221.00 / $6,180.00	Facility		$1,159.00	$3,221.00	$6,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,467.85 / $1,685.28 / $3,323.88	Professional		$1,467.85	$1,685.28	$3,323.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,037.47 / $16,417.70 / $35,809.08	Facility		$5,037.47	$16,417.70	$35,809.08
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 $1,592.50 / $2,329.52 / $3,414.70	Professional		$1,592.50	$2,329.52	$3,414.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,798.35 / $2,877.56 / $7,026.39	Professional		$1,798.35	$2,877.56	$7,026.39
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 $2,085.38 / $2,251.55 / $2,493.88	Professional		$2,085.38	$2,251.55	$2,493.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,877.56	Professional		$32.34	$32.34	$2,877.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,995.00	Facility		$1,690.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,637.56 / $2,236.69 / $3,955.95	Professional		$1,637.56	$2,236.69	$3,955.95