Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,896.87 / $5,549.00	Facility		$1,017.00	$1,896.87	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.13 / $786.41 / $1,201.43	Professional		$617.13	$786.41	$1,201.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,289.92 / $8,941.57 / $16,437.08	Facility		$4,289.92	$8,941.57	$16,437.08
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 $617.74 / $968.41 / $1,371.77	Professional		$617.74	$968.41	$1,371.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $714.36 / $1,097.53 / $2,392.31	Professional		$714.36	$1,097.53	$2,392.31
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 $821.96 / $844.25 / $932.54	Professional		$821.96	$844.25	$932.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,076.01	Professional		$32.34	$32.34	$1,076.01
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 $651.41 / $891.41 / $1,530.67	Professional		$651.41	$891.41	$1,530.67