Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,209.21 / $5,549.00	Facility		$1,129.00	$2,209.21	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,183.61 / $1,415.96 / $2,217.81	Professional		$1,183.61	$1,415.96	$2,217.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,266.85 / $13,405.04 / $26,843.59	Facility		$6,266.85	$13,405.04	$26,843.59
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 $1,247.15 / $1,723.21 / $2,814.90	Professional		$1,247.15	$1,723.21	$2,814.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,206.33 / $1,870.74 / $5,318.48	Professional		$1,206.33	$1,870.74	$5,318.48
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 $1,242.84 / $1,473.91 / $1,654.13	Professional		$1,242.84	$1,473.91	$1,654.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,870.44	Professional		$32.34	$32.34	$1,870.44
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 $1,248.33 / $1,790.29 / $2,865.45	Professional		$1,248.33	$1,790.29	$2,865.45