Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,963.26 / $7,123.00	Facility		$1,159.00	$2,963.26	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,334.23 / $1,691.11 / $2,826.89	Professional		$1,334.23	$1,691.11	$2,826.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,325.86 / $15,194.37 / $35,346.66	Facility		$7,325.86	$15,194.37	$35,346.66
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 $1,554.35 / $2,121.84 / $3,023.83	Professional		$1,554.35	$2,121.84	$3,023.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,571.72 / $2,500.46 / $6,765.85	Professional		$1,571.72	$2,500.46	$6,765.85
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 $1,766.97 / $1,857.49 / $2,043.25	Professional		$1,766.97	$1,857.49	$2,043.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,357.60	Professional		$32.34	$32.34	$2,357.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $6,359.00 / $12,442.00	Facility		$1,400.00	$6,359.00	$12,442.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,524.62 / $2,199.84 / $3,882.54	Professional		$1,524.62	$2,199.84	$3,882.54