Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,125.57 / $9,691.00	Facility		$1,159.00	$3,125.57	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,684.61 / $2,014.83 / $3,125.57	Professional		$1,684.61	$2,014.83	$3,125.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,917.39 / $19,074.64 / $38,196.96	Facility		$8,917.39	$19,074.64	$38,196.96
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 $1,778.10 / $2,466.08 / $3,904.98	Professional		$1,778.10	$2,466.08	$3,904.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,711.09 / $2,657.95 / $6,555.37	Professional		$1,711.09	$2,657.95	$6,555.37
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 $1,805.99 / $2,094.14 / $2,348.53	Professional		$1,805.99	$2,094.14	$2,348.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,655.64	Professional		$32.34	$32.34	$2,655.64
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 $1,698.74 / $2,437.75 / $4,087.17	Professional		$1,698.74	$2,437.75	$4,087.17