Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.20 / $2,155.42 / $5,405.00	Facility		$1,038.20	$2,155.42	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.12 / $1,038.20 / $1,794.06	Professional		$922.12	$1,038.20	$1,794.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,669.26 / $10,531.93 / $24,500.43	Facility		$2,669.26	$10,531.93	$24,500.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,001.06 / $1,371.64 / $1,945.69	Professional		$1,001.06	$1,371.64	$1,945.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $992.04 / $1,542.16 / $4,242.87	Professional		$992.04	$1,542.16	$4,242.87
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 $1,102.33 / $1,172.41 / $1,274.47	Professional		$1,102.33	$1,172.41	$1,274.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,470.54	Professional		$32.34	$32.34	$1,470.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $991.68 / $1,403.09 / $2,439.10	Professional		$991.68	$1,403.09	$2,439.10