Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $1,848.00 / $5,549.00	Facility		$1,129.00	$1,848.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $985.16 / $1,178.72 / $1,886.70	Professional		$985.16	$1,178.72	$1,886.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,216.88 / $11,159.12 / $22,346.13	Facility		$5,216.88	$11,159.12	$22,346.13
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 $1,038.74 / $1,478.94 / $2,507.28	Professional		$1,038.74	$1,478.94	$2,507.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,003.35 / $1,561.68 / $4,319.51	Professional		$1,003.35	$1,561.68	$4,319.51
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 $1,035.63 / $1,226.35 / $1,376.04	Professional		$1,035.63	$1,226.35	$1,376.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,555.98	Professional		$32.34	$32.34	$1,555.98
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 $991.74 / $1,528.52 / $2,386.13	Professional		$991.74	$1,528.52	$2,386.13