Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,018.00 / $2,965.27 / $5,580.00	Facility		$1,018.00	$2,965.27	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.98 / $1,048.41 / $1,704.38	Professional		$920.98	$1,048.41	$1,704.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,471.54 / $13,842.88 / $27,720.36	Facility		$6,471.54	$13,842.88	$27,720.36
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 $1,053.47 / $1,585.23 / $2,282.90	Professional		$1,053.47	$1,585.23	$2,282.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.40 / $1,776.60 / $3,392.88	Professional		$1,065.40	$1,776.60	$3,392.88
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 $1,319.76 / $1,319.76 / $1,319.76	Professional		$1,319.76	$1,319.76	$1,319.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $905.34 / $1,334.19 / $2,262.62	Professional		$905.34	$1,334.19	$2,262.62