Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,299.16 / $5,549.00	Facility		$1,129.00	$2,299.16	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.36 / $1,456.22 / $2,339.39	Professional		$1,222.36	$1,456.22	$2,339.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,445.06 / $13,786.24 / $27,606.94	Facility		$6,445.06	$13,786.24	$27,606.94
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 $1,285.36 / $1,832.86 / $2,822.78	Professional		$1,285.36	$1,832.86	$2,822.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.34 / $1,986.48 / $4,856.60	Professional		$1,242.34	$1,986.48	$4,856.60
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 $1,327.51 / $1,519.08 / $1,697.24	Professional		$1,327.51	$1,519.08	$1,697.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,919.19	Professional		$32.34	$32.34	$1,919.19
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 $1,314.64 / $1,821.04 / $2,981.80	Professional		$1,314.64	$1,821.04	$2,981.80