Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,989.00 / $7,125.00	Facility		$1,207.00	$2,989.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,116.36 / $1,417.51 / $2,363.34	Professional		$1,116.36	$1,417.51	$2,363.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,225.80 / $12,736.10 / $29,627.99	Facility		$4,225.80	$12,736.10	$29,627.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.15 / $1,767.58 / $2,573.06	Professional		$1,314.15	$1,767.58	$2,573.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,307.52 / $2,032.59 / $5,193.91	Professional		$1,307.52	$2,032.59	$5,193.91
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 $1,479.87 / $1,545.25 / $1,702.12	Professional		$1,479.87	$1,545.25	$1,702.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,963.98	Professional		$32.34	$32.34	$1,963.98
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,267.48 / $1,818.82 / $2,924.44	Professional		$1,267.48	$1,818.82	$2,924.44