Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,759.05 / $5,549.00	Facility		$1,159.00	$2,759.05	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,464.77 / $1,493.46 / $2,759.05	Professional		$1,464.77	$1,493.46	$2,759.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,713.04 / $22,915.60 / $45,888.48	Facility		$10,713.04	$22,915.60	$45,888.48
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 $1,524.44 / $2,079.05 / $3,015.98	Professional		$1,524.44	$2,079.05	$3,015.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,550.97 / $2,429.08 / $5,950.91	Professional		$1,550.97	$2,429.08	$5,950.91
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 $1,713.44 / $1,832.96 / $1,989.86	Professional		$1,713.44	$1,832.96	$1,989.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,295.98	Professional		$32.34	$32.34	$2,295.98
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,800.00 / $6,650.00	Facility		$785.00	$2,800.00	$6,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,559.11 / $2,184.01 / $3,279.91	Professional		$1,559.11	$2,184.01	$3,279.91