Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,271.16 / $5,549.00	Facility		$1,129.00	$2,271.16	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,221.77 / $1,461.56 / $2,271.16	Professional		$1,221.77	$1,461.56	$2,271.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,468.70 / $13,836.80 / $27,708.19	Facility		$6,468.70	$13,836.80	$27,708.19
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 $1,294.54 / $1,837.24 / $2,820.89	Professional		$1,294.54	$1,837.24	$2,820.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,246.58 / $1,989.07 / $5,930.80	Professional		$1,246.58	$1,989.07	$5,930.80
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 $1,321.87 / $1,521.05 / $1,706.00	Professional		$1,321.87	$1,521.05	$1,706.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,929.10	Professional		$32.34	$32.34	$1,929.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,655.00 / $11,047.00 / $35,962.00	Facility		$2,655.00	$11,047.00	$35,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.61 / $1,817.15 / $2,964.43	Professional		$1,318.61	$1,817.15	$2,964.43