Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,496.83 / $5,549.00	Facility		$1,159.00	$2,496.83	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,118.76 / $1,284.88 / $2,496.83	Professional		$1,118.76	$1,284.88	$2,496.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,859.94 / $16,812.72 / $33,667.47	Facility		$7,859.94	$16,812.72	$33,667.47
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 $1,233.67 / $1,887.94 / $2,700.23	Professional		$1,233.67	$1,887.94	$2,700.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,395.12 / $2,156.09 / $5,432.67	Professional		$1,395.12	$2,156.09	$5,432.67
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 $1,524.58 / $1,648.78 / $1,818.02	Professional		$1,524.58	$1,648.78	$1,818.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,097.71	Professional		$32.34	$32.34	$2,097.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.00 / $8,141.00 / $21,651.00	Facility		$2,276.00	$8,141.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,277.15 / $1,708.50 / $2,994.97	Professional		$1,277.15	$1,708.50	$2,994.97