Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,817.41 / $5,549.00	Facility		$1,159.00	$2,817.41	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,519.77 / $1,591.06 / $2,899.34	Professional		$1,519.77	$1,591.06	$2,899.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,609.33 / $24,832.80 / $49,727.68	Facility		$11,609.33	$24,832.80	$49,727.68
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 $1,423.61 / $2,237.98 / $3,149.76	Professional		$1,423.61	$2,237.98	$3,149.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.76 / $2,521.10 / $6,026.97	Professional		$1,621.76	$2,521.10	$6,026.97
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 $1,667.67 / $1,916.63 / $2,155.10	Professional		$1,667.67	$1,916.63	$2,155.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,486.66	Professional		$32.34	$32.34	$2,486.66
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,546.08 / $2,349.96 / $3,951.89	Professional		$1,546.08	$2,349.96	$3,951.89