Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,521.96 / $5,430.00	Facility		$1,159.00	$2,521.96	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,206.17 / $1,404.69 / $2,521.96	Professional		$1,206.17	$1,404.69	$2,521.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,063.35 / $15,396.96 / $30,832.41	Facility		$7,063.35	$15,396.96	$30,832.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,491.88	Facility		$400.00	$785.00	$1,491.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,270.15 / $1,922.71 / $2,870.44	Professional		$1,270.15	$1,922.71	$2,870.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,438.99 / $2,223.89 / $5,713.83	Professional		$1,438.99	$2,223.89	$5,713.83
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 $1,484.87 / $1,700.62 / $1,907.71	Professional		$1,484.87	$1,700.62	$1,907.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,157.17	Professional		$32.34	$32.34	$2,157.17
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 $1,305.23 / $1,817.82 / $3,026.77	Professional		$1,305.23	$1,817.82	$3,026.77