Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,481.88 / $5,549.00	Facility		$1,159.00	$2,481.88	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,295.30 / $1,455.87 / $2,481.88	Professional		$1,295.30	$1,455.87	$2,481.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,966.79 / $19,180.32 / $38,408.58	Facility		$8,966.79	$19,180.32	$38,408.58
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 $1,376.55 / $1,855.68 / $2,701.03	Professional		$1,376.55	$1,855.68	$2,701.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,392.78 / $2,198.17 / $5,362.38	Professional		$1,392.78	$2,198.17	$5,362.38
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 $1,539.06 / $1,646.01 / $1,786.94	Professional		$1,539.06	$1,646.01	$1,786.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,061.86	Professional		$32.34	$32.34	$2,061.86
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 $1,404.20 / $1,984.22 / $3,451.71	Professional		$1,404.20	$1,984.22	$3,451.71