Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.79 / $2,989.00 / $7,125.00	Facility		$1,036.79	$2,989.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.96 / $1,036.79 / $1,603.36	Professional		$810.96	$1,036.79	$1,603.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,655.77 / $10,606.55 / $21,670.39	Facility		$5,655.77	$10,606.55	$21,670.39
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 $871.51 / $1,296.64 / $1,898.67	Professional		$871.51	$1,296.64	$1,898.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $943.34 / $1,473.36 / $3,690.79	Professional		$943.34	$1,473.36	$3,690.79
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 $1,111.92 / $1,126.68 / $1,248.61	Professional		$1,111.92	$1,126.68	$1,248.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,440.72	Professional		$32.34	$32.34	$1,440.72
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 $900.44 / $1,217.06 / $1,998.91	Professional		$900.44	$1,217.06	$1,998.91