Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,031.60 / $5,549.00	Facility		$1,129.00	$3,031.60	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,605.20 / $1,912.30 / $3,031.60	Professional		$1,605.20	$1,912.30	$3,031.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,463.62 / $18,104.00 / $36,253.26	Facility		$8,463.62	$18,104.00	$36,253.26
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 $1,535.23 / $2,344.51 / $3,812.86	Professional		$1,535.23	$2,344.51	$3,812.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,586.41 / $2,467.39 / $6,361.18	Professional		$1,586.41	$2,467.39	$6,361.18
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 $1,726.32 / $1,991.98 / $2,225.69	Professional		$1,726.32	$1,991.98	$2,225.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,516.73	Professional		$32.34	$32.34	$2,516.73
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,629.08 / $2,372.84 / $3,919.57	Professional		$1,629.08	$2,372.84	$3,919.57