Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,187.81 / $5,761.47	Facility		$1,129.00	$3,187.81	$5,761.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,702.18 / $2,036.53 / $3,187.81	Professional		$1,702.18	$2,036.53	$3,187.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,013.43 / $19,280.08 / $38,608.36	Facility		$9,013.43	$19,280.08	$38,608.36
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 $1,792.12 / $2,485.26 / $4,091.08	Professional		$1,792.12	$2,485.26	$4,091.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,735.17 / $2,688.18 / $6,700.58	Professional		$1,735.17	$2,688.18	$6,700.58
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 $1,777.80 / $2,117.96 / $2,376.76	Professional		$1,777.80	$2,117.96	$2,376.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,687.57	Professional		$32.34	$32.34	$2,687.57
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 $1,713.90 / $2,485.26 / $4,123.64	Professional		$1,713.90	$2,485.26	$4,123.64