Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,182.77 / $5,549.00	Facility		$1,159.00	$2,182.77	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.06 / $1,183.35 / $2,182.77	Professional		$1,159.06	$1,183.35	$2,182.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,477.15 / $18,132.96 / $36,311.25	Facility		$8,477.15	$18,132.96	$36,311.25
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 $1,204.03 / $1,647.76 / $2,364.48	Professional		$1,204.03	$1,647.76	$2,364.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,228.35 / $1,916.61 / $5,577.84	Professional		$1,228.35	$1,916.61	$5,577.84
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 $1,358.94 / $1,451.70 / $1,576.51	Professional		$1,358.94	$1,451.70	$1,576.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,819.05	Professional		$32.34	$32.34	$1,819.05
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 $1,203.32 / $1,685.64 / $2,708.49	Professional		$1,203.32	$1,685.64	$2,708.49