Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,797.48 / $5,430.00	Facility		$1,159.00	$2,797.48	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.01 / $1,578.69 / $2,797.48	Professional		$1,355.01	$1,578.69	$2,797.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,938.32 / $17,304.24 / $34,651.74	Facility		$7,938.32	$17,304.24	$34,651.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,664.96	Facility		$400.00	$785.00	$1,664.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,390.88 / $2,109.90 / $3,189.39	Professional		$1,390.88	$2,109.90	$3,189.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.37 / $2,464.21 / $6,213.06	Professional		$1,584.37	$2,464.21	$6,213.06
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 $1,666.12 / $1,900.04 / $2,135.94	Professional		$1,666.12	$1,900.04	$2,135.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,415.25	Professional		$32.34	$32.34	$2,415.25
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 $1,404.41 / $1,933.32 / $3,387.46	Professional		$1,404.41	$1,933.32	$3,387.46