Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.11 / $3,187.00 / $7,125.00	Facility		$1,085.11	$3,187.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.10 / $1,085.11 / $1,395.00	Professional		$1,085.10	$1,085.11	$1,395.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,973.45 / $8,751.54 / $10,764.87	Facility		$6,973.45	$8,751.54	$10,764.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $587.00 / $908.00	Facility		$400.00	$587.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,562.26 / $9,999.99 / $9,999.99	Professional		$3,562.26	$9,999.99	$9,999.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00