Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,032.31 / $5,430.00	Facility		$1,017.00	$2,032.31	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.42 / $1,125.78 / $2,032.31	Professional		$918.42	$1,125.78	$2,032.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,563.78 / $13,031.84 / $26,324.63	Facility		$8,563.78	$13,031.84	$26,324.63
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 $1,036.02 / $1,564.64 / $2,279.94	Professional		$1,036.02	$1,564.64	$2,279.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.97 / $1,832.63 / $5,679.26	Professional		$1,199.97	$1,832.63	$5,679.26
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 $1,296.69 / $1,401.43 / $1,559.96	Professional		$1,296.69	$1,401.43	$1,559.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,763.96	Professional		$32.34	$32.34	$1,763.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.56 / $1,330.03 / $2,427.96	Professional		$992.56	$1,330.03	$2,427.96