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 $1,052.86 / $1,337.93 / $2,035.55	Professional		$1,052.86	$1,337.93	$2,035.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $12,021.11 / $27,964.70	Facility		$7,091.59	$12,021.11	$27,964.70
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 $1,051.17 / $1,657.70 / $2,405.17	Professional		$1,051.17	$1,657.70	$2,405.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,225.32 / $1,873.18 / $5,297.14	Professional		$1,225.32	$1,873.18	$5,297.14
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 $1,391.51 / $1,448.11 / $1,596.31	Professional		$1,391.51	$1,448.11	$1,596.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,669.98	Professional		$32.34	$32.34	$1,669.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,050.00 / $5,405.00 / $11,479.00	Facility		$2,050.00	$5,405.00	$11,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,121.39 / $1,531.35 / $2,641.95	Professional		$1,121.39	$1,531.35	$2,641.95