Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $8,511.38	Facility		$1,148.15	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,511.89	Professional		$1,096.48	$1,288.25	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $14,125.38 / $27,542.29	Facility		$5,248.07	$14,125.38	$27,542.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $2,691.53	Professional		$1,000.00	$1,621.81	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $7,413.10	Professional		$1,288.25	$2,290.87	$7,413.10
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 $1,380.38 / $1,584.89 / $1,778.28	Professional		$1,380.38	$1,584.89	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,698.24	Professional		$32.36	$33.11	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,818.38 / $7,413.10	Facility		$575.44	$2,818.38	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,511.89	Professional		$1,122.02	$1,479.11	$2,511.89