Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,789.95 / $5,549.00	Facility		$1,129.00	$2,789.95	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,484.58 / $1,768.40 / $2,789.95	Professional		$1,484.58	$1,768.40	$2,789.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,826.77 / $16,741.75 / $33,525.37	Facility		$7,826.77	$16,741.75	$33,525.37
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 $1,559.99 / $2,182.42 / $3,393.73	Professional		$1,559.99	$2,182.42	$3,393.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,505.62 / $2,339.98 / $7,216.68	Professional		$1,505.62	$2,339.98	$7,216.68
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 $1,604.80 / $1,843.62 / $2,059.98	Professional		$1,604.80	$1,843.62	$2,059.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,329.38	Professional		$32.34	$32.34	$2,329.38
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 $1,504.94 / $2,152.61 / $3,620.89	Professional		$1,504.94	$2,152.61	$3,620.89