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 / $7,001.00	Facility		$1,159.00	$2,989.00	$7,001.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,175.89 / $1,374.97 / $2,441.29	Professional		$1,175.89	$1,374.97	$2,441.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,913.91 / $15,071.20 / $30,180.07	Facility		$6,913.91	$15,071.20	$30,180.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,450.27	Facility		$400.00	$785.00	$1,450.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.07 / $1,862.25 / $2,770.51	Professional		$1,252.07	$1,862.25	$2,770.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,401.63 / $2,166.16 / $5,427.48	Professional		$1,401.63	$2,166.16	$5,427.48
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 $1,440.30 / $1,656.47 / $1,862.25	Professional		$1,440.30	$1,656.47	$1,862.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,105.78	Professional		$32.34	$32.34	$2,105.78
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 $1,239.79 / $1,717.05 / $2,967.31	Professional		$1,239.79	$1,717.05	$2,967.31