Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,925.46 / $5,430.00	Facility		$1,159.00	$2,925.46	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,405.48 / $1,645.69 / $2,925.46	Professional		$1,405.48	$1,645.69	$2,925.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,275.18 / $18,038.56 / $36,122.21	Facility		$8,275.18	$18,038.56	$36,122.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,734.82	Facility		$400.00	$785.00	$1,734.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,410.74 / $2,195.35 / $3,320.30	Professional		$1,410.74	$2,195.35	$3,320.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,601.82 / $2,536.51 / $6,576.65	Professional		$1,601.82	$2,536.51	$6,576.65
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 $1,721.38 / $1,983.20 / $2,229.66	Professional		$1,721.38	$1,983.20	$2,229.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,521.23	Professional		$32.34	$32.34	$2,521.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $6,920.00 / $16,667.00	Facility		$1,400.00	$6,920.00	$16,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,486.60 / $2,053.36 / $3,491.11	Professional		$1,486.60	$2,053.36	$3,491.11