Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.20 / $2,758.00 / $5,580.00	Facility		$1,080.20	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $985.26 / $1,080.20 / $2,101.35	Professional		$985.26	$1,080.20	$2,101.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $11,580.61 / $25,258.77	Facility		$4,464.57	$11,580.61	$25,258.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.41 / $1,557.12 / $2,409.48	Professional		$1,130.41	$1,557.12	$2,409.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,264.29 / $1,858.40 / $4,864.31	Professional		$1,264.29	$1,858.40	$4,864.31
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 $1,380.52 / $1,390.73 / $1,494.16	Professional		$1,380.52	$1,390.73	$1,494.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,689.54	Professional		$32.34	$32.34	$1,689.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,038.31 / $1,469.81 / $2,493.38	Professional		$1,038.31	$1,469.81	$2,493.38