Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,493.65 / $5,430.00	Facility		$1,159.00	$2,493.65	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.59 / $1,389.92 / $2,493.65	Professional		$1,192.59	$1,389.92	$2,493.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,989.07 / $15,235.04 / $30,508.16	Facility		$6,989.07	$15,235.04	$30,508.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,474.51	Facility		$400.00	$785.00	$1,474.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.08 / $1,939.37 / $2,848.42	Professional		$1,272.08	$1,939.37	$2,848.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,422.21 / $2,209.25 / $5,649.78	Professional		$1,422.21	$2,209.25	$5,649.78
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 $1,466.31 / $1,680.80 / $1,885.51	Professional		$1,466.31	$1,680.80	$1,885.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,132.07	Professional		$32.34	$32.34	$2,132.07
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,311.30 / $1,826.79 / $3,069.99	Professional		$1,311.30	$1,826.79	$3,069.99