Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,578.91 / $5,430.00	Facility		$1,159.00	$2,578.91	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,233.31 / $1,430.57 / $2,578.91	Professional		$1,233.31	$1,430.57	$2,578.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,193.45 / $15,680.56 / $31,400.32	Facility		$7,193.45	$15,680.56	$31,400.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,514.70	Facility		$400.00	$785.00	$1,514.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.09 / $1,994.38 / $2,934.00	Professional		$1,305.09	$1,994.38	$2,934.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,462.54 / $2,260.29 / $5,821.22	Professional		$1,462.54	$2,260.29	$5,821.22
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 $1,500.24 / $1,728.45 / $1,939.00	Professional		$1,500.24	$1,728.45	$1,939.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,192.56	Professional		$32.34	$32.34	$2,192.56
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 $1,336.37 / $1,896.00 / $3,134.44	Professional		$1,336.37	$1,896.00	$3,134.44