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 $983.78 / $2,373.75 / $2,970.69	Professional		$983.78	$2,373.75	$2,970.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,491.87 / $3,491.87 / $4,778.34	Professional		$3,491.87	$3,491.87	$4,778.34
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 $1,991.26 / $3,027.19 / $4,260.49	Professional		$1,991.26	$3,027.19	$4,260.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,859.41 / $5,207.17 / $12,421.78	Professional		$2,859.41	$5,207.17	$12,421.78
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 $3,981.95 / $3,981.95 / $3,981.95	Professional		$3,981.95	$3,981.95	$3,981.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,253.45 / $2,500.00 / $2,500.00	Professional		$1,253.45	$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 $1,617.08 / $2,807.53 / $6,429.23	Professional		$1,617.08	$2,807.53	$6,429.23