Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,636.00 / $9,153.82	Facility		$1,017.00	$3,636.00	$9,153.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,432.38 / $4,264.27 / $6,780.61	Professional		$3,432.38	$4,264.27	$6,780.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,134.57 / $5,173.45 / $6,363.64	Facility		$4,134.57	$5,173.45	$6,363.64
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 $4,023.59 / $6,077.86 / $8,013.77	Professional		$4,023.59	$6,077.86	$8,013.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $345.40	Professional		$120.00	$345.40	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
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 $4,121.28 / $6,048.32 / $10,263.54	Professional		$4,121.28	$6,048.32	$10,263.54