Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,163.41 / $5,430.00	Facility		$1,017.00	$2,163.41	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.99 / $1,250.10 / $2,163.41	Professional		$890.99	$1,250.10	$2,163.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,563.78 / $13,850.99 / $29,273.89	Facility		$8,563.78	$13,850.99	$29,273.89
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 $1,096.33 / $1,732.49 / $2,401.17	Professional		$1,096.33	$1,732.49	$2,401.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,316.78 / $2,029.73 / $6,166.42	Professional		$1,316.78	$2,029.73	$6,166.42
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 $1,433.48 / $1,549.16 / $1,724.61	Professional		$1,433.48	$1,549.16	$1,724.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,950.13	Professional		$32.34	$32.34	$1,950.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,056.14 / $1,423.14 / $2,604.17	Professional		$1,056.14	$1,423.14	$2,604.17