Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,774.15 / $5,549.00	Facility		$1,159.00	$2,774.15	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,316.79 / $1,702.32 / $2,774.15	Professional		$1,316.79	$1,702.32	$2,774.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,286.29 / $19,863.75 / $39,777.17	Facility		$9,286.29	$19,863.75	$39,777.17
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 $1,556.24 / $2,163.11 / $3,044.38	Professional		$1,556.24	$2,163.11	$3,044.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,571.12 / $2,483.57 / $5,999.80	Professional		$1,571.12	$2,483.57	$5,999.80
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 $1,602.73 / $1,856.78 / $2,082.98	Professional		$1,602.73	$1,856.78	$2,082.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,403.44	Professional		$32.34	$32.34	$2,403.44
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 $1,557.49 / $2,202.09 / $3,855.93	Professional		$1,557.49	$2,202.09	$3,855.93