Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,254.98 / $5,430.00	Facility		$1,159.00	$2,254.98	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,090.61 / $1,272.43 / $2,254.98	Professional		$1,090.61	$1,272.43	$2,254.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,398.27 / $13,947.20 / $27,929.26	Facility		$6,398.27	$13,947.20	$27,929.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,343.08	Facility		$400.00	$785.00	$1,343.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,078.07 / $1,701.55 / $2,556.80	Professional		$1,078.07	$1,701.55	$2,556.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,241.48 / $1,973.72 / $5,041.28	Professional		$1,241.48	$1,973.72	$5,041.28
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 $1,341.37 / $1,534.25 / $1,724.93	Professional		$1,341.37	$1,534.25	$1,724.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,950.50	Professional		$32.34	$32.34	$1,950.50
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 $1,134.54 / $1,605.93 / $2,725.20	Professional		$1,134.54	$1,605.93	$2,725.20