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 $1,005.21 / $1,275.93 / $1,974.32	Professional		$1,005.21	$1,275.93	$1,974.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,960.32 / $11,469.87 / $26,668.84	Facility		$6,960.32	$11,469.87	$26,668.84
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 $1,079.51 / $1,586.49 / $2,316.46	Professional		$1,079.51	$1,586.49	$2,316.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.92 / $1,814.29 / $5,092.50	Professional		$1,173.92	$1,814.29	$5,092.50
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 $1,325.90 / $1,387.36 / $1,527.73	Professional		$1,325.90	$1,387.36	$1,527.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,762.77	Professional		$32.34	$32.34	$1,762.77
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 $1,128.10 / $1,501.00 / $2,370.14	Professional		$1,128.10	$1,501.00	$2,370.14