Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,759.02 / $5,549.00	Facility		$1,129.00	$2,759.02	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,469.27 / $1,757.63 / $2,759.02	Professional		$1,469.27	$1,757.63	$2,759.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,779.08 / $16,639.75 / $33,321.11	Facility		$7,779.08	$16,639.75	$33,321.11
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 $1,353.55 / $2,148.09 / $3,673.11	Professional		$1,353.55	$2,148.09	$3,673.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,358.30 / $2,250.92 / $5,859.07	Professional		$1,358.30	$2,250.92	$5,859.07
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 $1,535.47 / $1,828.88 / $2,052.42	Professional		$1,535.47	$1,828.88	$2,052.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,320.82	Professional		$32.34	$32.34	$2,320.82
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 $1,481.84 / $2,222.76 / $3,851.75	Professional		$1,481.84	$2,222.76	$3,851.75