Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,578.09 / $5,549.00	Facility		$1,129.00	$2,578.09	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,377.52 / $1,648.02 / $2,588.85	Professional		$1,377.52	$1,648.02	$2,588.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,293.97 / $15,602.08 / $31,243.16	Facility		$7,293.97	$15,602.08	$31,243.16
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 $1,451.56 / $2,069.83 / $3,333.75	Professional		$1,451.56	$2,069.83	$3,333.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,335.54 / $2,177.34 / $5,488.18	Professional		$1,335.54	$2,177.34	$5,488.18
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 $1,443.13 / $1,715.48 / $1,925.26	Professional		$1,443.13	$1,715.48	$1,925.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,177.03	Professional		$32.34	$32.34	$2,177.03
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 $1,473.77 / $2,141.06 / $3,336.06	Professional		$1,473.77	$2,141.06	$3,336.06