Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,518.85 / $5,430.00	Facility		$1,159.00	$2,518.85	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.26 / $1,413.05 / $2,518.85	Professional		$1,207.26	$1,413.05	$2,518.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,105.37 / $15,488.56 / $31,015.84	Facility		$7,105.37	$15,488.56	$31,015.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,489.16	Facility		$400.00	$785.00	$1,489.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,285.19 / $1,922.62 / $2,867.30	Professional		$1,285.19	$1,922.62	$2,867.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,441.17 / $2,227.26 / $5,595.15	Professional		$1,441.17	$2,227.26	$5,595.15
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 $1,477.94 / $1,703.20 / $1,915.29	Professional		$1,477.94	$1,703.20	$1,915.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,165.75	Professional		$32.34	$32.34	$2,165.75
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 $1,273.47 / $1,753.37 / $3,040.46	Professional		$1,273.47	$1,753.37	$3,040.46