Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,064.64 / $5,549.00	Facility		$1,159.00	$2,064.64	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,090.54 / $1,165.56 / $2,064.64	Professional		$1,090.54	$1,165.56	$2,064.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,524.73 / $18,234.72 / $36,515.01	Facility		$8,524.73	$18,234.72	$36,515.01
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 $1,104.90 / $1,641.97 / $2,269.40	Professional		$1,104.90	$1,641.97	$2,269.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,190.49 / $1,850.66 / $4,447.79	Professional		$1,190.49	$1,850.66	$4,447.79
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 $1,232.33 / $1,406.94 / $1,581.16	Professional		$1,232.33	$1,406.94	$1,581.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,824.42	Professional		$32.34	$32.34	$1,824.42
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 $1,124.48 / $1,615.73 / $2,545.73	Professional		$1,124.48	$1,615.73	$2,545.73