Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,848.00 / $5,389.00	Facility		$1,017.00	$1,848.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $899.05 / $1,143.90 / $1,784.51	Professional		$899.05	$1,143.90	$1,784.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,240.07 / $10,961.84 / $23,909.17	Facility		$6,240.07	$10,961.84	$23,909.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.83 / $1,432.75 / $2,079.83	Professional		$1,040.83	$1,432.75	$2,079.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,057.98 / $1,650.97 / $4,130.85	Professional		$1,057.98	$1,650.97	$4,130.85
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 $1,208.97 / $1,250.33 / $1,379.69	Professional		$1,208.97	$1,250.33	$1,379.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,591.95	Professional		$32.34	$32.34	$1,591.95
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 $1,006.78 / $1,427.82 / $2,263.66	Professional		$1,006.78	$1,427.82	$2,263.66