Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,218.04 / $5,844.01	Facility		$1,129.00	$3,218.04	$5,844.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,726.38 / $2,065.01 / $3,218.04	Professional		$1,726.38	$2,065.01	$3,218.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,139.51 / $19,549.75 / $39,148.39	Facility		$9,139.51	$19,549.75	$39,148.39
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 $1,817.79 / $2,580.00 / $3,835.44	Professional		$1,817.79	$2,580.00	$3,835.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,756.91 / $2,797.19 / $8,327.62	Professional		$1,756.91	$2,797.19	$8,327.62
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 $1,856.31 / $2,148.30 / $2,409.63	Professional		$1,856.31	$2,148.30	$2,409.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,724.73	Professional		$32.34	$32.34	$2,724.73
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 $1,741.32 / $2,446.16 / $4,189.62	Professional		$1,741.32	$2,446.16	$4,189.62