Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,118.00 / $5,549.00	Facility		$1,061.00	$2,118.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $970.78 / $1,225.66 / $2,079.36	Professional		$970.78	$1,225.66	$2,079.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,298.53 / $12,478.35 / $25,618.17	Facility		$8,298.53	$12,478.35	$25,618.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $12,002.00 / $13,106.00	Facility		$875.00	$12,002.00	$13,106.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,123.94 / $1,533.95 / $2,259.63	Professional		$1,123.94	$1,533.95	$2,259.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,140.50 / $1,786.77 / $4,913.21	Professional		$1,140.50	$1,786.77	$4,913.21
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 $1,260.11 / $1,347.87 / $1,477.14	Professional		$1,260.11	$1,347.87	$1,477.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,704.39	Professional		$32.34	$32.34	$1,704.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,110.76 / $1,581.27 / $2,510.73	Professional		$1,110.76	$1,581.27	$2,510.73