Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,758.00 / $5,580.00	Facility		$1,207.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $972.94 / $1,237.18 / $1,880.24	Professional		$972.94	$1,237.18	$1,880.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,748.94 / $11,469.87 / $25,858.91	Facility		$6,748.94	$11,469.87	$25,858.91
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 $911.36 / $1,530.48 / $2,183.98	Professional		$911.36	$1,530.48	$2,183.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.73 / $1,734.55 / $4,266.68	Professional		$1,130.73	$1,734.55	$4,266.68
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 $1,289.31 / $1,336.32 / $1,473.80	Professional		$1,289.31	$1,336.32	$1,473.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,700.54	Professional		$32.34	$32.34	$1,700.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $6,359.00 / $12,442.00	Facility		$1,300.00	$6,359.00	$12,442.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.14 / $1,463.49 / $2,300.37	Professional		$1,045.14	$1,463.49	$2,300.37