Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,667.94 / $5,549.00	Facility		$1,159.00	$2,667.94	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,302.00 / $1,641.22 / $2,667.94	Professional		$1,302.00	$1,641.22	$2,667.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,952.99 / $19,150.80 / $38,349.47	Facility		$8,952.99	$19,150.80	$38,349.47
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 $1,497.92 / $2,099.40 / $3,009.46	Professional		$1,497.92	$2,099.40	$3,009.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,539.56 / $2,449.30 / $7,180.57	Professional		$1,539.56	$2,449.30	$7,180.57
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 $1,688.90 / $1,819.48 / $1,991.85	Professional		$1,688.90	$1,819.48	$1,991.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,298.29	Professional		$32.34	$32.34	$2,298.29
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 $1,490.31 / $2,131.54 / $3,434.86	Professional		$1,490.31	$2,131.54	$3,434.86