Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,576.00 / $5,549.00	Facility		$1,017.00	$2,576.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.00 / $2,747.50 / $5,389.00	Professional		$1,129.00	$2,747.50	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,973.45 / $8,751.54 / $10,764.87	Facility		$6,973.45	$8,751.54	$10,764.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $587.00 / $908.00	Facility		$400.00	$587.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,573.64 / $9,999.99 / $9,999.99	Professional		$1,573.64	$9,999.99	$9,999.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $5,405.00 / $12,241.00	Facility		$1,900.00	$5,405.00	$12,241.00