Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,205.79 / $5,430.00	Facility		$1,159.00	$2,205.79	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,068.64 / $1,244.75 / $2,205.79	Professional		$1,068.64	$1,244.75	$2,205.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,259.07 / $13,643.76 / $27,321.62	Facility		$6,259.07	$13,643.76	$27,321.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,313.52	Facility		$400.00	$785.00	$1,313.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.26 / $1,664.27 / $2,503.65	Professional		$1,110.26	$1,664.27	$2,503.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,255.25 / $1,940.69 / $4,935.79	Professional		$1,255.25	$1,940.69	$4,935.79
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 $1,314.95 / $1,498.19 / $1,683.96	Professional		$1,314.95	$1,498.19	$1,683.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,904.16	Professional		$32.34	$32.34	$1,904.16
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 $1,124.20 / $1,547.10 / $2,722.70	Professional		$1,124.20	$1,547.10	$2,722.70