Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,256.23 / $5,549.00	Facility		$1,159.00	$2,256.23	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.93 / $1,330.70 / $2,256.23	Professional		$1,182.93	$1,330.70	$2,256.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,195.87 / $17,531.28 / $35,106.37	Facility		$8,195.87	$17,531.28	$35,106.37
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 $1,279.73 / $1,707.10 / $2,439.27	Professional		$1,279.73	$1,707.10	$2,439.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,272.21 / $2,010.11 / $5,089.56	Professional		$1,272.21	$2,010.11	$5,089.56
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 $1,408.25 / $1,503.52 / $1,633.22	Professional		$1,408.25	$1,503.52	$1,633.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,884.48	Professional		$32.34	$32.34	$1,884.48
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 $1,243.65 / $1,727.64 / $3,274.51	Professional		$1,243.65	$1,727.64	$3,274.51