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 $1,081.00 / $1,372.88 / $2,136.44	Professional		$1,081.00	$1,372.88	$2,136.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $12,335.09 / $28,695.10	Facility		$7,091.59	$12,335.09	$28,695.10
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 $1,085.34 / $1,701.44 / $2,503.44	Professional		$1,085.34	$1,701.44	$2,503.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.35 / $1,922.87 / $4,762.89	Professional		$1,258.35	$1,922.87	$4,762.89
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 $1,428.41 / $1,487.15 / $1,638.43	Professional		$1,428.41	$1,487.15	$1,638.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,890.50	Professional		$32.34	$32.34	$1,890.50
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 $1,188.60 / $1,658.97 / $2,713.96	Professional		$1,188.60	$1,658.97	$2,713.96