Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,989.00 / $7,123.00	Facility		$1,159.00	$2,989.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,382.44 / $1,751.70 / $2,649.60	Professional		$1,382.44	$1,751.70	$2,649.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,588.32 / $15,738.73 / $36,613.00	Facility		$7,588.32	$15,738.73	$36,613.00
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 $1,566.94 / $2,198.69 / $2,998.67	Professional		$1,566.94	$2,198.69	$2,998.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,629.12 / $2,591.79 / $6,693.41	Professional		$1,629.12	$2,591.79	$6,693.41
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 $1,829.48 / $1,925.33 / $2,117.27	Professional		$1,829.48	$1,925.33	$2,117.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,443.01	Professional		$32.34	$32.34	$2,443.01
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 $1,517.39 / $2,268.50 / $3,543.84	Professional		$1,517.39	$2,268.50	$3,543.84