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 $1,117.19 / $2,446.69 / $3,061.78	Professional		$1,117.19	$2,446.69	$3,061.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,966.93 / $2,966.93 / $4,060.01	Professional		$2,966.93	$2,966.93	$4,060.01
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 $2,042.06 / $3,100.68 / $4,286.76	Professional		$2,042.06	$3,100.68	$4,286.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,082.06 / $4,424.37 / $12,363.51	Professional		$2,082.06	$4,424.37	$12,363.51
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 $3,383.34 / $3,383.34 / $3,383.34	Professional		$3,383.34	$3,383.34	$3,383.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,487.32 / $2,500.00 / $2,500.00	Professional		$1,487.32	$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 $1,846.52 / $2,586.35 / $5,462.72	Professional		$1,846.52	$2,586.35	$5,462.72