Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,073.00 / $6,038.78	Facility		$1,017.00	$3,073.00	$6,038.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.50 / $2,425.79 / $3,234.51	Professional		$1,312.50	$2,425.79	$3,234.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,674.55 / $3,659.92 / $3,659.92	Professional		$2,674.55	$3,659.92	$3,659.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,588.77	Facility		$400.00	$785.00	$2,588.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,935.75 / $2,805.55 / $4,574.64	Professional		$1,935.75	$2,805.55	$4,574.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,274.21 / $3,636.46 / $13,915.27	Professional		$2,274.21	$3,636.46	$13,915.27
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 $2,600.30 / $2,687.70 / $3,049.93	Professional		$2,600.30	$2,687.70	$3,049.93
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 $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 $1,810.86 / $2,716.28 / $4,504.50	Professional		$1,810.86	$2,716.28	$4,504.50