Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,224.18 / $3,073.00 / $8,783.00	Facility		$1,224.18	$3,073.00	$8,783.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,224.18 / $1,248.63 / $2,299.78	Professional		$1,224.18	$1,248.63	$2,299.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,953.44 / $19,151.75 / $38,351.39	Facility		$8,953.44	$19,151.75	$38,351.39
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 $1,215.82 / $1,726.10 / $2,521.46	Professional		$1,215.82	$1,726.10	$2,521.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,294.99 / $2,060.21 / $4,991.08	Professional		$1,294.99	$2,060.21	$4,991.08
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 $1,434.32 / $1,530.44 / $1,662.18	Professional		$1,434.32	$1,530.44	$1,662.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,917.90	Professional		$32.34	$32.34	$1,917.90
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 $1,292.44 / $1,673.41 / $2,732.15	Professional		$1,292.44	$1,673.41	$2,732.15