Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,227.90 / $5,549.00	Facility		$1,129.00	$2,227.90	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,189.27 / $1,423.00 / $2,268.73	Professional		$1,189.27	$1,423.00	$2,268.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,298.01 / $13,471.68 / $26,977.03	Facility		$6,298.01	$13,471.68	$26,977.03
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 $1,253.88 / $1,735.34 / $2,911.01	Professional		$1,253.88	$1,735.34	$2,911.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,214.06 / $1,880.82 / $5,768.10	Professional		$1,214.06	$1,880.82	$5,768.10
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 $1,244.22 / $1,481.86 / $1,663.58	Professional		$1,244.22	$1,481.86	$1,663.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,881.13	Professional		$32.34	$32.34	$1,881.13
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 $1,256.92 / $1,787.21 / $2,881.06	Professional		$1,256.92	$1,787.21	$2,881.06