Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,389.00 / $5,389.00	Facility		$1,017.00	$2,389.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,527.54 / $1,947.08 / $3,236.96	Professional		$1,527.54	$1,947.08	$3,236.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,708.25 / $17,494.21 / $40,696.76	Facility		$7,708.25	$17,494.21	$40,696.76
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 $1,576.21 / $2,413.92 / $3,564.38	Professional		$1,576.21	$2,413.92	$3,564.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,779.67 / $2,750.40 / $8,292.52	Professional		$1,779.67	$2,750.40	$8,292.52
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 $2,051.67 / $2,103.23 / $2,324.52	Professional		$2,051.67	$2,103.23	$2,324.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,682.14	Professional		$32.34	$32.34	$2,682.14
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 $1,702.83 / $2,374.09 / $3,953.75	Professional		$1,702.83	$2,374.09	$3,953.75