Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,031.78 / $5,549.00	Facility		$1,129.00	$2,031.78	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.17 / $1,300.84 / $2,083.00	Professional		$1,087.17	$1,300.84	$2,083.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,757.39 / $12,315.28 / $24,661.34	Facility		$5,757.39	$12,315.28	$24,661.34
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 $1,126.56 / $1,580.99 / $2,257.10	Professional		$1,126.56	$1,580.99	$2,257.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,107.99 / $1,718.48 / $4,365.00	Professional		$1,107.99	$1,718.48	$4,365.00
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 $1,142.51 / $1,353.95 / $1,519.57	Professional		$1,142.51	$1,353.95	$1,519.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,718.28	Professional		$32.34	$32.34	$1,718.28
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 $1,075.07 / $1,526.21 / $2,630.99	Professional		$1,075.07	$1,526.21	$2,630.99