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 $1,121.31 / $2,693.37 / $3,370.34	Professional		$1,121.31	$2,693.37	$3,370.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,356.85 / $4,356.85 / $5,962.02	Professional		$4,356.85	$4,356.85	$5,962.02
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 $2,304.92 / $3,679.74 / $5,178.89	Professional		$2,304.92	$3,679.74	$5,178.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,379.30 / $6,497.08 / $18,046.86	Professional		$3,379.30	$6,497.08	$18,046.86
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 $4,968.35 / $4,968.35 / $4,968.35	Professional		$4,968.35	$4,968.35	$4,968.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$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 $1,848.01 / $3,502.99 / $8,021.85	Professional		$1,848.01	$3,502.99	$8,021.85