Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,372.05 / $7,407.00	Facility		$1,159.00	$2,372.05	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,125.50 / $1,455.28 / $2,372.05	Professional		$1,125.50	$1,455.28	$2,372.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,938.71 / $16,981.20 / $34,004.85	Facility		$7,938.71	$16,981.20	$34,004.85
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 $1,343.13 / $1,849.58 / $2,684.63	Professional		$1,343.13	$1,849.58	$2,684.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,343.54 / $2,117.62 / $6,398.22	Professional		$1,343.54	$2,117.62	$6,398.22
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 $1,376.45 / $1,587.82 / $1,781.08	Professional		$1,376.45	$1,587.82	$1,781.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,055.09	Professional		$32.34	$32.34	$2,055.09
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 $1,329.45 / $1,868.99 / $3,044.56	Professional		$1,329.45	$1,868.99	$3,044.56