Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,524.14 / $5,549.00	Facility		$1,159.00	$2,524.14	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,322.16 / $1,486.51 / $2,524.14	Professional		$1,322.16	$1,486.51	$2,524.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,155.54 / $19,584.08 / $39,217.12	Facility		$9,155.54	$19,584.08	$39,217.12
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 $1,377.19 / $1,907.69 / $2,781.79	Professional		$1,377.19	$1,907.69	$2,781.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,422.39 / $2,211.17 / $5,672.84	Professional		$1,422.39	$2,211.17	$5,672.84
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 $1,572.86 / $1,681.00 / $1,825.85	Professional		$1,572.86	$1,681.00	$1,825.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,106.75	Professional		$32.34	$32.34	$2,106.75
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 $1,391.98 / $1,729.44 / $3,002.71	Professional		$1,391.98	$1,729.44	$3,002.71