Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,066.98 / $5,549.00	Facility		$1,159.00	$2,066.98	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.63 / $1,221.69 / $2,066.98	Professional		$1,085.63	$1,221.69	$2,066.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,524.50 / $16,095.20 / $32,230.63	Facility		$7,524.50	$16,095.20	$32,230.63
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 $1,098.81 / $1,556.60 / $2,237.00	Professional		$1,098.81	$1,556.60	$2,237.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,167.21 / $1,813.14 / $4,675.62	Professional		$1,167.21	$1,813.14	$4,675.62
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 $1,294.05 / $1,379.43 / $1,498.94	Professional		$1,294.05	$1,379.43	$1,498.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,729.55	Professional		$32.34	$32.34	$1,729.55
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 $1,141.15 / $1,623.21 / $2,457.27	Professional		$1,141.15	$1,623.21	$2,457.27