Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $1,984.95 / $5,549.00	Facility		$1,129.00	$1,984.95	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.23 / $1,270.76 / $2,036.46	Professional		$1,062.23	$1,270.76	$2,036.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,480.26 / $9,973.95 / $21,549.59	Facility		$6,480.26	$9,973.95	$21,549.59
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 $1,120.21 / $1,605.39 / $2,665.20	Professional		$1,120.21	$1,605.39	$2,665.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.25 / $1,680.08 / $4,776.13	Professional		$1,083.25	$1,680.08	$4,776.13
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 $1,116.83 / $1,323.70 / $1,485.58	Professional		$1,116.83	$1,323.70	$1,485.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,679.84	Professional		$32.34	$32.34	$1,679.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,120.98 / $1,724.33 / $2,573.69	Professional		$1,120.98	$1,724.33	$2,573.69