Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,933.00 / $5,580.00	Facility		$1,207.00	$2,933.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,279.22 / $1,691.78 / $2,518.61	Professional		$1,279.22	$1,691.78	$2,518.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,480.26 / $12,332.56 / $28,689.23	Facility		$6,480.26	$12,332.56	$28,689.23
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 $1,161.73 / $1,976.57 / $2,720.43	Professional		$1,161.73	$1,976.57	$2,720.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,179.80 / $2,115.60 / $4,860.10	Professional		$1,179.80	$2,115.60	$4,860.10
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 $1,419.39 / $1,718.93 / $1,986.83	Professional		$1,419.39	$1,718.93	$1,986.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,246.65	Professional		$32.34	$32.34	$2,246.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,474.00 / $14,468.00	Facility		$2,600.00	$7,474.00	$14,468.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,215.67 / $1,618.66 / $3,211.02	Professional		$1,215.67	$1,618.66	$3,211.02