Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,475.50 / $5,549.00	Facility		$1,129.00	$2,475.50	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,327.37 / $1,587.76 / $2,555.35	Professional		$1,327.37	$1,587.76	$2,555.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,027.27 / $15,031.60 / $30,100.77	Facility		$7,027.27	$15,031.60	$30,100.77
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 $1,409.17 / $1,981.94 / $2,798.52	Professional		$1,409.17	$1,981.94	$2,798.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.40 / $2,095.37 / $6,187.98	Professional		$1,349.40	$2,095.37	$6,187.98
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 $1,424.90 / $1,650.38 / $1,851.27	Professional		$1,424.90	$1,650.38	$1,851.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,093.35	Professional		$32.34	$32.34	$2,093.35
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,339.65 / $1,914.65 / $3,436.07	Professional		$1,339.65	$1,914.65	$3,436.07