Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $3,066.66 / $7,001.00	Facility		$1,105.00	$3,066.66	$7,001.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.75 / $1,646.82 / $3,066.66	Professional		$1,350.75	$1,646.82	$3,066.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,050.35 / $21,498.08 / $43,049.90	Facility		$10,050.35	$21,498.08	$43,049.90
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 $1,554.90 / $2,337.37 / $3,450.01	Professional		$1,554.90	$2,337.37	$3,450.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,827.87 / $2,729.94 / $6,642.71	Professional		$1,827.87	$2,729.94	$6,642.71
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 $1,861.08 / $2,052.53 / $2,282.42	Professional		$1,861.08	$2,052.53	$2,282.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,580.89	Professional		$32.34	$32.34	$2,580.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $7,842.00 / $21,651.00	Facility		$2,421.00	$7,842.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,563.29 / $2,103.13 / $3,618.27	Professional		$1,563.29	$2,103.13	$3,618.27