Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,389.80 / $5,549.00	Facility		$1,129.00	$2,389.80	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,277.69 / $1,528.65 / $2,415.26	Professional		$1,277.69	$1,528.65	$2,415.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,765.62 / $14,471.92 / $28,980.01	Facility		$6,765.62	$14,471.92	$28,980.01
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 $1,345.80 / $1,860.88 / $3,235.72	Professional		$1,345.80	$1,860.88	$3,235.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.05 / $2,018.69 / $6,182.73	Professional		$1,302.05	$2,018.69	$6,182.73
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 $1,339.61 / $1,590.49 / $1,784.80	Professional		$1,339.61	$1,590.49	$1,784.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,018.19	Professional		$32.34	$32.34	$2,018.19
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 $1,285.51 / $1,868.44 / $3,092.94	Professional		$1,285.51	$1,868.44	$3,092.94