Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,229.71 / $5,791.68	Facility		$1,129.00	$3,229.71	$5,791.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,714.28 / $2,041.93 / $3,229.71	Professional		$1,714.28	$2,041.93	$3,229.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,037.33 / $19,331.20 / $38,710.72	Facility		$9,037.33	$19,331.20	$38,710.72
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 $1,817.89 / $2,553.42 / $3,988.28	Professional		$1,817.89	$2,553.42	$3,988.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.96 / $2,784.16 / $6,711.08	Professional		$1,737.96	$2,784.16	$6,711.08
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 $1,851.54 / $2,129.06 / $2,378.73	Professional		$1,851.54	$2,129.06	$2,378.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,689.79	Professional		$32.34	$32.34	$2,689.79
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 $1,799.15 / $2,504.89 / $4,465.02	Professional		$1,799.15	$2,504.89	$4,465.02