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 $974.76 / $2,117.53 / $2,804.61	Professional		$974.76	$2,117.53	$2,804.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,060.59 / $3,060.59 / $4,188.18	Professional		$3,060.59	$3,060.59	$4,188.18
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 $1,814.03 / $2,871.80 / $4,041.80	Professional		$1,814.03	$2,871.80	$4,041.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,599.46 / $4,564.04 / $12,099.22	Professional		$2,599.46	$4,564.04	$12,099.22
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 $3,490.15 / $3,490.15 / $3,490.15	Professional		$3,490.15	$3,490.15	$3,490.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,092.67 / $2,500.00 / $2,500.00	Professional		$1,092.67	$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 $1,567.09 / $2,460.77 / $5,635.15	Professional		$1,567.09	$2,460.77	$5,635.15