Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $1,848.00 / $5,549.00	Facility		$1,129.00	$1,848.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.69 / $1,169.85 / $1,872.24	Professional		$977.69	$1,169.85	$1,872.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,166.89 / $8,527.95 / $19,838.59	Facility		$4,166.89	$8,527.95	$19,838.59
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 $1,029.73 / $1,470.37 / $2,312.64	Professional		$1,029.73	$1,470.37	$2,312.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $994.52 / $1,589.10 / $4,445.47	Professional		$994.52	$1,589.10	$4,445.47
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 $1,032.92 / $1,216.96 / $1,365.34	Professional		$1,032.92	$1,216.96	$1,365.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,543.88	Professional		$32.34	$32.34	$1,543.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,247.00 / $8,995.00	Facility		$1,152.00	$5,247.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $983.44 / $1,440.46 / $2,618.41	Professional		$983.44	$1,440.46	$2,618.41