Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,139.92 / $2,989.00 / $7,125.00	Facility		$1,139.92	$2,989.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $896.04 / $1,139.92 / $1,729.11	Professional		$896.04	$1,139.92	$1,729.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,218.34 / $10,923.67 / $23,825.91	Facility		$6,218.34	$10,923.67	$23,825.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $946.18 / $1,406.82 / $1,854.91	Professional		$946.18	$1,406.82	$1,854.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,039.06 / $1,594.40 / $3,821.18	Professional		$1,039.06	$1,594.40	$3,821.18
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 $1,185.00 / $1,227.98 / $1,354.72	Professional		$1,185.00	$1,227.98	$1,354.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,563.14	Professional		$32.34	$32.34	$1,563.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $933.33 / $1,319.97 / $2,234.75	Professional		$933.33	$1,319.97	$2,234.75