Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $1,916.43 / $5,549.00	Facility		$1,129.00	$1,916.43	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,026.39 / $1,228.02 / $1,923.83	Professional		$1,026.39	$1,228.02	$1,923.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,435.08 / $11,625.84 / $23,280.74	Facility		$5,435.08	$11,625.84	$23,280.74
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 $1,082.66 / $1,546.21 / $2,615.38	Professional		$1,082.66	$1,546.21	$2,615.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,046.06 / $1,624.00 / $4,127.07	Professional		$1,046.06	$1,624.00	$4,127.07
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 $1,084.24 / $1,279.51 / $1,435.77	Professional		$1,084.24	$1,279.51	$1,435.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,623.53	Professional		$32.34	$32.34	$1,623.53
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 $1,032.52 / $1,590.24 / $2,484.23	Professional		$1,032.52	$1,590.24	$2,484.23