Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,307.25 / $5,430.00	Facility		$1,159.00	$2,307.25	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,113.18 / $1,300.50 / $2,307.25	Professional		$1,113.18	$1,300.50	$2,307.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,539.42 / $14,254.88 / $28,545.39	Facility		$6,539.42	$14,254.88	$28,545.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,373.52	Facility		$400.00	$785.00	$1,373.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,166.46 / $1,746.42 / $2,614.21	Professional		$1,166.46	$1,746.42	$2,614.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,297.86 / $2,019.68 / $6,565.35	Professional		$1,297.86	$2,019.68	$6,565.35
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 $1,368.91 / $1,570.00 / $1,765.10	Professional		$1,368.91	$1,570.00	$1,765.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,995.92	Professional		$32.34	$32.34	$1,995.92
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 $1,168.26 / $1,591.44 / $2,844.94	Professional		$1,168.26	$1,591.44	$2,844.94