Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,270.00 / $5,958.18	Facility		$1,129.00	$3,270.00	$5,958.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,760.80 / $2,106.81 / $3,311.66	Professional		$1,760.80	$2,106.81	$3,311.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,324.49 / $19,945.43 / $39,940.74	Facility		$9,324.49	$19,945.43	$39,940.74
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 $1,859.19 / $2,570.94 / $4,263.32	Professional		$1,859.19	$2,570.94	$4,263.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,794.50 / $2,779.97 / $6,964.75	Professional		$1,794.50	$2,779.97	$6,964.75
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 $1,838.12 / $2,190.28 / $2,457.82	Professional		$1,838.12	$2,190.28	$2,457.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,779.23	Professional		$32.34	$32.34	$2,779.23
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 $1,772.72 / $2,628.27 / $4,265.16	Professional		$1,772.72	$2,628.27	$4,265.16