Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,678.06 / $5,549.00	Facility		$1,129.00	$2,678.06	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,249.01 / $1,719.25 / $2,678.06	Professional		$1,249.01	$1,719.25	$2,678.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,609.17 / $16,276.32 / $32,593.33	Facility		$7,609.17	$16,276.32	$32,593.33
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 $1,527.93 / $2,147.89 / $3,328.50	Professional		$1,527.93	$2,147.89	$3,328.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,464.51 / $2,340.07 / $10,161.09	Professional		$1,464.51	$2,340.07	$10,161.09
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 $1,549.16 / $1,789.46 / $2,007.16	Professional		$1,549.16	$1,789.46	$2,007.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,269.64	Professional		$32.34	$32.34	$2,269.64
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 $1,517.26 / $2,175.66 / $3,489.76	Professional		$1,517.26	$2,175.66	$3,489.76