Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,620.80 / $5,430.00	Facility		$1,159.00	$2,620.80	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.91 / $1,474.61 / $2,620.80	Professional		$1,262.91	$1,474.61	$2,620.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,414.90 / $16,163.28 / $32,366.96	Facility		$7,414.90	$16,163.28	$32,366.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,554.88	Facility		$400.00	$785.00	$1,554.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,343.58 / $1,975.62 / $2,970.20	Professional		$1,343.58	$1,975.62	$2,970.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.11 / $2,309.98 / $5,826.87	Professional		$1,494.11	$2,309.98	$5,826.87
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 $1,548.26 / $1,773.63 / $1,993.69	Professional		$1,548.26	$1,773.63	$1,993.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,254.41	Professional		$32.34	$32.34	$2,254.41
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 $1,312.06 / $1,804.08 / $3,125.48	Professional		$1,312.06	$1,804.08	$3,125.48