Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,680.99 / $5,430.00	Facility		$1,159.00	$2,680.99	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,289.99 / $1,509.03 / $2,680.99	Professional		$1,289.99	$1,509.03	$2,680.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,588.01 / $16,540.64 / $33,122.62	Facility		$7,588.01	$16,540.64	$33,122.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,592.05	Facility		$400.00	$785.00	$1,592.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,365.64 / $2,019.35 / $3,044.93	Professional		$1,365.64	$2,019.35	$3,044.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,540.20 / $2,380.31 / $6,870.54	Professional		$1,540.20	$2,380.31	$6,870.54
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 $1,582.40 / $1,820.23 / $2,046.47	Professional		$1,582.40	$1,820.23	$2,046.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,314.09	Professional		$32.34	$32.34	$2,314.09
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 $1,368.47 / $1,907.10 / $3,238.39	Professional		$1,368.47	$1,907.10	$3,238.39