Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,636.00 / $5,549.00	Facility		$1,017.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,761.72 / $2,271.77 / $4,284.51	Professional		$1,761.72	$2,271.77	$4,284.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.91 / $24,355.25 / $53,121.88	Facility		$8,139.91	$24,355.25	$53,121.88
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 $1,778.16 / $3,123.08 / $4,298.63	Professional		$1,778.16	$3,123.08	$4,298.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,323.58 / $3,631.31 / $7,691.27	Professional		$2,323.58	$3,631.31	$7,691.27
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 $2,626.65 / $2,818.08 / $3,123.08	Professional		$2,626.65	$2,818.08	$3,123.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,531.48	Professional		$32.34	$32.34	$3,531.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,929.40 / $2,679.85 / $5,021.63	Professional		$1,929.40	$2,679.85	$5,021.63