Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,118.00 / $5,393.00	Facility		$1,017.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.19 / $1,035.53 / $1,876.98	Professional		$948.19	$1,035.53	$1,876.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,070.62 / $10,158.75 / $20,331.68	Facility		$7,070.62	$10,158.75	$20,331.68
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 $937.72 / $1,335.83 / $1,883.31	Professional		$937.72	$1,335.83	$1,883.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.57 / $1,608.44 / $5,241.00	Professional		$1,011.57	$1,608.44	$5,241.00
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 $1,176.98 / $1,267.25 / $1,404.31	Professional		$1,176.98	$1,267.25	$1,404.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,620.36	Professional		$32.34	$32.34	$1,620.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,978.00 / $12,241.00	Facility		$2,100.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.74 / $1,173.06 / $2,228.71	Professional		$852.74	$1,173.06	$2,228.71