Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,207.44 / $5,430.00	Facility		$1,017.00	$2,207.44	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.97 / $1,199.35 / $2,207.44	Professional		$968.97	$1,199.35	$2,207.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,319.55 / $15,656.80 / $31,352.74	Facility		$7,319.55	$15,656.80	$31,352.74
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 $1,199.28 / $1,756.81 / $2,443.35	Professional		$1,199.28	$1,756.81	$2,443.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,359.52 / $2,013.18 / $4,317.39	Professional		$1,359.52	$2,013.18	$4,317.39
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 $1,365.10 / $1,495.51 / $1,663.42	Professional		$1,365.10	$1,495.51	$1,663.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,880.94	Professional		$32.34	$32.34	$1,880.94
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 $1,089.82 / $1,536.35 / $2,630.38	Professional		$1,089.82	$1,536.35	$2,630.38