Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,600.14 / $5,549.00	Facility		$1,129.00	$2,600.14	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,371.15 / $1,632.83 / $2,600.14	Professional		$1,371.15	$1,632.83	$2,600.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,226.68 / $15,458.16 / $30,954.96	Facility		$7,226.68	$15,458.16	$30,954.96
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 $1,452.53 / $1,990.15 / $3,200.41	Professional		$1,452.53	$1,990.15	$3,200.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,384.89 / $2,159.17 / $5,470.68	Professional		$1,384.89	$2,159.17	$5,470.68
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 $1,463.81 / $1,701.17 / $1,900.61	Professional		$1,463.81	$1,701.17	$1,900.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,149.15	Professional		$32.34	$32.34	$2,149.15
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 $1,391.61 / $2,012.60 / $3,348.21	Professional		$1,391.61	$2,012.60	$3,348.21