Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.22 / $2,156.53 / $5,430.00	Facility		$1,057.22	$2,156.53	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.70 / $1,169.57 / $2,156.53	Professional		$1,145.70	$1,169.57	$2,156.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,379.50 / $17,924.08 / $35,892.97	Facility		$8,379.50	$17,924.08	$35,892.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.95 / $1,616.40 / $2,326.00	Professional		$1,171.95	$1,616.40	$2,326.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.06 / $1,885.75 / $4,683.22	Professional		$1,213.06	$1,885.75	$4,683.22
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 $1,342.86 / $1,433.61 / $1,556.53	Professional		$1,342.86	$1,433.61	$1,556.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,796.00	Professional		$32.34	$32.34	$1,796.00
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,188.07 / $1,649.24 / $2,563.35	Professional		$1,188.07	$1,649.24	$2,563.35