Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,073.00 / $7,723.00	Facility		$1,017.00	$3,073.00	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.79 / $2,211.14 / $2,766.81	Professional		$1,091.79	$2,211.14	$2,766.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,534.44 / $2,534.44 / $3,468.18	Professional		$2,534.44	$2,534.44	$3,468.18
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 $1,844.81 / $2,790.35 / $3,679.13	Professional		$1,844.81	$2,790.35	$3,679.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.55 / $3,779.42 / $10,586.30	Professional		$1,778.55	$3,779.42	$10,586.30
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 $2,890.15 / $2,890.15 / $2,890.15	Professional		$2,890.15	$2,890.15	$2,890.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,326.53 / $2,500.00 / $2,500.00	Professional		$1,326.53	$2,500.00	$2,500.00
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 $1,715.98 / $2,498.52 / $4,666.39	Professional		$1,715.98	$2,498.52	$4,666.39