Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.06 / $1,808.37 / $5,430.00	Facility		$1,023.06	$1,808.37	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.46 / $1,023.06 / $1,808.37	Professional		$878.46	$1,023.06	$1,808.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,290.07 / $5,242.47 / $19,806.43	Facility		$1,290.07	$5,242.47	$19,806.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,082.58	Facility		$400.00	$785.00	$1,082.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.16 / $1,373.86 / $2,050.10	Professional		$902.16	$1,373.86	$2,050.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.69 / $1,601.50 / $3,929.79	Professional		$1,029.69	$1,601.50	$3,929.79
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 $1,085.41 / $1,236.82 / $1,390.23	Professional		$1,085.41	$1,236.82	$1,390.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,572.03	Professional		$32.34	$32.34	$1,572.03
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $927.69 / $1,305.47 / $2,190.03	Professional		$927.69	$1,305.47	$2,190.03