Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,228.14 / $5,789.47	Facility		$1,129.00	$3,228.14	$5,789.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,713.19 / $2,040.93 / $3,228.14	Professional		$1,713.19	$2,040.93	$3,228.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,032.92 / $19,321.75 / $38,691.82	Facility		$9,032.92	$19,321.75	$38,691.82
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 $1,817.20 / $2,551.02 / $4,062.46	Professional		$1,817.20	$2,551.02	$4,062.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.77 / $2,743.80 / $6,798.55	Professional		$1,737.77	$2,743.80	$6,798.55
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 $1,851.86 / $2,128.26 / $2,377.96	Professional		$1,851.86	$2,128.26	$2,377.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,688.92	Professional		$32.34	$32.34	$2,688.92
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 $1,774.92 / $2,411.76 / $4,182.68	Professional		$1,774.92	$2,411.76	$4,182.68