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 / $2,512.63 / $3,144.28	Professional		$1,091.79	$2,512.63	$3,144.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,924.36 / $3,924.36 / $5,370.18	Professional		$3,924.36	$3,924.36	$5,370.18
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 $2,132.38 / $3,404.38 / $4,791.35	Professional		$2,132.38	$3,404.38	$4,791.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,119.35 / $5,852.11 / $16,833.61	Professional		$3,119.35	$5,852.11	$16,833.61
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 $4,475.14 / $4,475.14 / $4,475.14	Professional		$4,475.14	$4,475.14	$4,475.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,414.24 / $2,500.00 / $2,500.00	Professional		$1,414.24	$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 $1,723.12 / $3,116.15 / $7,225.53	Professional		$1,723.12	$3,116.15	$7,225.53