Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,379.51 / $5,549.00	Facility		$1,129.00	$2,379.51	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.99 / $1,519.42 / $2,390.09	Professional		$1,269.99	$1,519.42	$2,390.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,724.78 / $14,384.56 / $28,805.08	Facility		$6,724.78	$14,384.56	$28,805.08
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 $1,169.88 / $1,852.64 / $3,046.78	Professional		$1,169.88	$1,852.64	$3,046.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,175.22 / $1,946.35 / $5,077.04	Professional		$1,175.22	$1,946.35	$5,077.04
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 $1,328.51 / $1,581.41 / $1,774.81	Professional		$1,328.51	$1,581.41	$1,774.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,006.90	Professional		$32.34	$32.34	$2,006.90
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 $1,278.65 / $1,888.34 / $3,076.43	Professional		$1,278.65	$1,888.34	$3,076.43