Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,390.92 / $5,549.00	Facility		$1,129.00	$2,390.92	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,276.22 / $1,474.94 / $2,390.92	Professional		$1,276.22	$1,474.94	$2,390.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,697.67 / $20,743.68 / $41,539.21	Facility		$9,697.67	$20,743.68	$41,539.21
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 $1,356.01 / $1,856.70 / $2,617.61	Professional		$1,356.01	$1,856.70	$2,617.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.22 / $2,015.69 / $5,353.47	Professional		$1,326.22	$2,015.69	$5,353.47
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 $1,486.42 / $1,588.12 / $1,724.09	Professional		$1,486.42	$1,588.12	$1,724.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,949.54	Professional		$32.34	$32.34	$1,949.54
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 $1,344.24 / $1,902.27 / $3,171.08	Professional		$1,344.24	$1,902.27	$3,171.08