Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,513.44 / $5,430.00	Facility		$1,159.00	$2,513.44	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.28 / $1,415.00 / $2,513.44	Professional		$1,213.28	$1,415.00	$2,513.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,115.17 / $15,509.92 / $31,058.61	Facility		$7,115.17	$15,509.92	$31,058.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,493.83	Facility		$400.00	$785.00	$1,493.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.72 / $1,890.07 / $2,851.22	Professional		$1,269.72	$1,890.07	$2,851.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,434.68 / $2,224.71 / $5,600.80	Professional		$1,434.68	$2,224.71	$5,600.80
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 $1,490.24 / $1,704.11 / $1,915.58	Professional		$1,490.24	$1,704.11	$1,915.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,166.07	Professional		$32.34	$32.34	$2,166.07
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 $1,269.33 / $1,772.30 / $3,101.94	Professional		$1,269.33	$1,772.30	$3,101.94