Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.50 / $2,824.00 / $5,580.00	Facility		$1,093.50	$2,824.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.94 / $1,093.50 / $2,109.00	Professional		$955.94	$1,093.50	$2,109.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,846.66 / $10,652.72 / $23,234.94	Facility		$4,846.66	$10,652.72	$23,234.94
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 $1,059.02 / $1,518.82 / $2,214.92	Professional		$1,059.02	$1,518.82	$2,214.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,163.29 / $1,866.51 / $4,821.85	Professional		$1,163.29	$1,866.51	$4,821.85
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 $1,362.54 / $1,459.17 / $1,617.64	Professional		$1,362.54	$1,459.17	$1,617.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,866.51	Professional		$32.34	$32.34	$1,866.51
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 $1,051.80 / $1,472.52 / $2,537.46	Professional		$1,051.80	$1,472.52	$2,537.46