Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,310.89 / $5,549.00	Facility		$1,159.00	$2,310.89	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,231.96 / $1,255.69 / $2,310.89	Professional		$1,231.96	$1,255.69	$2,310.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,010.37 / $19,273.52 / $38,595.22	Facility		$9,010.37	$19,273.52	$38,595.22
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 $1,281.33 / $1,751.12 / $2,551.08	Professional		$1,281.33	$1,751.12	$2,551.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,304.36 / $2,026.98 / $5,014.63	Professional		$1,304.36	$2,026.98	$5,014.63
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 $1,445.39 / $1,541.53 / $1,674.61	Professional		$1,445.39	$1,541.53	$1,674.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,932.24	Professional		$32.34	$32.34	$1,932.24
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 $1,297.91 / $1,793.86 / $2,747.05	Professional		$1,297.91	$1,793.86	$2,747.05