Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $3,148.00 / $7,780.00	Facility		$1,207.00	$3,148.00	$7,780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.71 / $1,485.72 / $2,647.88	Professional		$1,269.71	$1,485.72	$2,647.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,470.76 / $16,285.04 / $32,610.79	Facility		$7,470.76	$16,285.04	$32,610.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,566.26	Facility		$400.00	$785.00	$1,566.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,351.75 / $2,011.86 / $3,005.29	Professional		$1,351.75	$2,011.86	$3,005.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,514.12 / $2,340.00 / $5,877.73	Professional		$1,514.12	$2,340.00	$5,877.73
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 $1,553.37 / $1,789.41 / $2,011.85	Professional		$1,553.37	$1,789.41	$2,011.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,274.94	Professional		$32.34	$32.34	$2,274.94
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 $1,354.36 / $1,852.79 / $3,194.90	Professional		$1,354.36	$1,852.79	$3,194.90