Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,289.63 / $5,430.00	Facility		$1,159.00	$3,289.63	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,576.79 / $1,794.59 / $3,289.63	Professional		$1,576.79	$1,794.59	$3,289.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,288.73 / $20,247.91 / $40,546.44	Facility		$9,288.73	$20,247.91	$40,546.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,948.55	Facility		$400.00	$785.00	$1,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,680.68 / $2,473.92 / $3,730.36	Professional		$1,680.68	$2,473.92	$3,730.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,884.31 / $2,912.12 / $9,270.62	Professional		$1,884.31	$2,912.12	$9,270.62
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 $1,929.53 / $2,226.91 / $2,503.36	Professional		$1,929.53	$2,226.91	$2,503.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,830.72	Professional		$32.34	$32.34	$2,830.72
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 $1,711.51 / $2,376.19 / $3,974.39	Professional		$1,711.51	$2,376.19	$3,974.39