Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,966.52 / $5,430.00	Facility		$1,159.00	$2,966.52	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.86 / $1,572.00 / $2,966.52	Professional		$1,417.86	$1,572.00	$2,966.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,904.62 / $17,230.80 / $34,504.67	Facility		$7,904.62	$17,230.80	$34,504.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,749.91	Facility		$400.00	$785.00	$1,749.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,504.42 / $2,202.08 / $3,355.13	Professional		$1,504.42	$2,202.08	$3,355.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,644.98 / $2,542.25 / $6,719.83	Professional		$1,644.98	$2,542.25	$6,719.83
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 $1,807.10 / $1,944.07 / $2,120.52	Professional		$1,807.10	$1,944.07	$2,120.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,397.82	Professional		$32.34	$32.34	$2,397.82
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 $1,524.13 / $2,104.71 / $3,517.67	Professional		$1,524.13	$2,104.71	$3,517.67