Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,047.08 / $5,549.00	Facility		$1,159.00	$3,047.08	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,593.54 / $1,791.51 / $3,047.08	Professional		$1,593.54	$1,791.51	$3,047.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,034.04 / $23,602.24 / $47,263.48	Facility		$11,034.04	$23,602.24	$47,263.48
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 $1,673.03 / $2,280.67 / $3,310.35	Professional		$1,673.03	$2,280.67	$3,310.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,711.75 / $2,661.00 / $6,803.64	Professional		$1,711.75	$2,661.00	$6,803.64
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 $1,891.05 / $2,022.98 / $2,196.21	Professional		$1,891.05	$2,022.98	$2,196.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,534.09	Professional		$32.34	$32.34	$2,534.09
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 $1,722.29 / $2,342.23 / $3,621.25	Professional		$1,722.29	$2,342.23	$3,621.25