Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,174.50 / $5,430.00	Facility		$1,159.00	$2,174.50	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.99 / $1,200.51 / $2,174.50	Professional		$1,061.99	$1,200.51	$2,174.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,036.67 / $13,158.96 / $26,350.81	Facility		$6,036.67	$13,158.96	$26,350.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,268.99	Facility		$400.00	$785.00	$1,268.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.73 / $1,686.61 / $2,506.57	Professional		$1,091.73	$1,686.61	$2,506.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,225.17 / $1,949.13 / $5,091.04	Professional		$1,225.17	$1,949.13	$5,091.04
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 $1,249.08 / $1,447.93 / $1,624.14	Professional		$1,249.08	$1,447.93	$1,624.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,836.53	Professional		$32.34	$32.34	$1,836.53
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,800.00 / $6,291.00	Facility		$785.00	$2,800.00	$6,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,176.52 / $1,729.48 / $2,641.65	Professional		$1,176.52	$1,729.48	$2,641.65