Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $1,931.33 / $5,549.00	Facility		$1,129.00	$1,931.33	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.73 / $1,239.08 / $1,984.40	Professional		$1,035.73	$1,239.08	$1,984.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,484.03 / $11,730.56 / $23,490.44	Facility		$5,484.03	$11,730.56	$23,490.44
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 $1,091.42 / $1,558.81 / $2,638.95	Professional		$1,091.42	$1,558.81	$2,638.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.15 / $1,637.13 / $4,720.14	Professional		$1,055.15	$1,637.13	$4,720.14
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 $1,090.15 / $1,289.85 / $1,447.47	Professional		$1,090.15	$1,289.85	$1,447.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,636.76	Professional		$32.34	$32.34	$1,636.76
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,091.59 / $1,555.27 / $2,507.69	Professional		$1,091.59	$1,555.27	$2,507.69