Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,010.80 / $2,317.02 / $2,866.13	Facility		$1,010.80	$2,317.02	$2,866.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.64 / $1,319.48 / $2,381.31	Professional		$953.64	$1,319.48	$2,381.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,462.43 / $10,836.68 / $23,636.18	Facility		$4,462.43	$10,836.68	$23,636.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,298.45 / $1,449.57	Facility		$875.00	$1,298.45	$1,449.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,151.34 / $1,708.32 / $2,767.59	Professional		$1,151.34	$1,708.32	$2,767.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,379.81 / $2,051.42 / $5,521.42	Professional		$1,379.81	$2,051.42	$5,521.42
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 $1,252.43 / $1,314.09 / $1,859.57	Professional		$1,252.43	$1,314.09	$1,859.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,102.75	Professional		$32.34	$32.34	$2,102.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,951.00 / $11,479.00	Facility		$2,100.00	$5,951.00	$11,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,325.99 / $1,816.13 / $3,153.04	Professional		$1,325.99	$1,816.13	$3,153.04