Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,689.62 / $5,549.00	Facility		$1,159.00	$2,689.62	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,277.65 / $1,651.90 / $2,689.62	Professional		$1,277.65	$1,651.90	$2,689.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,011.26 / $19,275.43 / $38,599.06	Facility		$9,011.26	$19,275.43	$38,599.06
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 $1,522.99 / $2,096.50 / $2,950.64	Professional		$1,522.99	$2,096.50	$2,950.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,522.99 / $2,407.10 / $5,662.96	Professional		$1,522.99	$2,407.10	$5,662.96
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 $1,555.11 / $1,799.90 / $2,018.86	Professional		$1,555.11	$1,799.90	$2,018.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,329.46	Professional		$32.34	$32.34	$2,329.46
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,457.30 / $2,111.61 / $3,456.68	Professional		$1,457.30	$2,111.61	$3,456.68