Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,933.00 / $6,614.00	Facility		$1,207.00	$2,933.00	$6,614.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.03 / $1,345.94 / $2,410.57	Professional		$1,163.03	$1,345.94	$2,410.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,735.07 / $14,918.54 / $26,316.98	Facility		$8,735.07	$14,918.54	$26,316.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,434.80	Facility		$400.00	$785.00	$1,434.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,220.88 / $1,843.72 / $2,713.39	Professional		$1,220.88	$1,843.72	$2,713.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,387.65 / $2,127.36 / $5,333.93	Professional		$1,387.65	$2,127.36	$5,333.93
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 $1,428.51 / $1,639.95 / $1,843.71	Professional		$1,428.51	$1,639.95	$1,843.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,084.81	Professional		$32.34	$32.34	$2,084.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.00 / $8,100.00 / $21,651.00	Facility		$2,276.00	$8,100.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,210.10 / $1,675.15 / $2,929.25	Professional		$1,210.10	$1,675.15	$2,929.25