Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $3,126.35 / $7,001.00	Facility		$1,105.00	$3,126.35	$7,001.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,384.71 / $1,686.73 / $3,126.35	Professional		$1,384.71	$1,686.73	$3,126.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,293.90 / $22,019.04 / $44,093.12	Facility		$10,293.90	$22,019.04	$44,093.12
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 $1,607.48 / $2,365.90 / $3,521.45	Professional		$1,607.48	$2,365.90	$3,521.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,840.34 / $2,763.48 / $6,774.91	Professional		$1,840.34	$2,763.48	$6,774.91
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 $1,910.65 / $2,100.89 / $2,336.53	Professional		$1,910.65	$2,100.89	$2,336.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,642.08	Professional		$32.34	$32.34	$2,642.08
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 $1,548.35 / $2,134.92 / $3,717.28	Professional		$1,548.35	$2,134.92	$3,717.28