Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $1,946.27 / $5,549.00	Facility		$1,129.00	$1,946.27	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.63 / $1,203.26 / $1,920.29	Professional		$1,010.63	$1,203.26	$1,920.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,325.49 / $11,391.44 / $22,811.35	Facility		$5,325.49	$11,391.44	$22,811.35
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 $1,068.15 / $1,507.74 / $2,318.55	Professional		$1,068.15	$1,507.74	$2,318.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,010.42 / $1,644.60 / $4,037.84	Professional		$1,010.42	$1,644.60	$4,037.84
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 $1,068.77 / $1,250.99 / $1,397.37	Professional		$1,068.77	$1,250.99	$1,397.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,580.10	Professional		$32.34	$32.34	$1,580.10
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 $1,027.47 / $1,541.21 / $2,472.09	Professional		$1,027.47	$1,541.21	$2,472.09