Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,989.00 / $7,000.00	Facility		$1,159.00	$2,989.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,325.62 / $1,557.80 / $2,627.06	Professional		$1,325.62	$1,557.80	$2,627.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,044.60 / $17,535.91 / $35,115.67	Facility		$8,044.60	$17,535.91	$35,115.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,687.91	Facility		$400.00	$785.00	$1,687.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,416.01 / $2,172.25 / $3,211.20	Professional		$1,416.01	$2,172.25	$3,211.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,632.48 / $2,506.44 / $6,282.52	Professional		$1,632.48	$2,506.44	$6,282.52
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 $1,676.40 / $1,931.75 / $2,172.25	Professional		$1,676.40	$1,931.75	$2,172.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,456.31	Professional		$32.34	$32.34	$2,456.31
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 $1,438.09 / $1,994.97 / $3,506.81	Professional		$1,438.09	$1,994.97	$3,506.81