Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,811.39 / $5,549.00	Facility		$1,129.00	$2,811.39	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,493.43 / $1,779.16 / $2,811.39	Professional		$1,493.43	$1,779.16	$2,811.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,874.34 / $16,843.52 / $33,729.14	Facility		$7,874.34	$16,843.52	$33,729.14
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 $1,567.18 / $2,197.65 / $3,186.52	Professional		$1,567.18	$2,197.65	$3,186.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,515.32 / $2,354.53 / $5,894.06	Professional		$1,515.32	$2,354.53	$5,894.06
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 $1,615.71 / $1,855.09 / $2,072.81	Professional		$1,615.71	$1,855.09	$2,072.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,343.87	Professional		$32.34	$32.34	$2,343.87
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 $1,514.68 / $2,150.52 / $3,349.60	Professional		$1,514.68	$2,150.52	$3,349.60