Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.47 / $2,758.00 / $5,580.00	Facility		$1,153.47	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.79 / $1,153.47 / $2,113.76	Professional		$949.79	$1,153.47	$2,113.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $12,366.18 / $26,972.21	Facility		$4,464.57	$12,366.18	$26,972.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $4,053.94 / $4,525.74	Facility		$875.00	$4,053.94	$4,525.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,160.79 / $1,660.50 / $2,437.94	Professional		$1,160.79	$1,660.50	$2,437.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,315.57 / $1,934.66 / $4,645.18	Professional		$1,315.57	$1,934.66	$4,645.18
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 $1,315.98 / $1,437.18 / $1,599.00	Professional		$1,315.98	$1,437.18	$1,599.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,808.10	Professional		$32.34	$32.34	$1,808.10
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 $1,086.90 / $1,450.11 / $2,510.51	Professional		$1,086.90	$1,450.11	$2,510.51