Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,423.56 / $5,549.00	Facility		$1,129.00	$2,423.56	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,299.14 / $1,554.68 / $2,426.58	Professional		$1,299.14	$1,554.68	$2,426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,880.85 / $14,718.40 / $29,473.59	Facility		$6,880.85	$14,718.40	$29,473.59
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 $1,367.45 / $1,889.65 / $3,285.61	Professional		$1,367.45	$1,889.65	$3,285.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,323.06 / $2,051.16 / $5,173.27	Professional		$1,323.06	$2,051.16	$5,173.27
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 $1,361.00 / $1,616.07 / $1,813.68	Professional		$1,361.00	$1,616.07	$1,813.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,050.86	Professional		$32.34	$32.34	$2,050.86
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 $1,305.35 / $1,926.63 / $3,140.70	Professional		$1,305.35	$1,926.63	$3,140.70