Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,928.97 / $5,549.00	Facility		$1,159.00	$2,928.97	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,319.94 / $1,515.30 / $2,928.97	Professional		$1,319.94	$1,515.30	$2,928.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,269.46 / $19,827.75 / $39,705.08	Facility		$9,269.46	$19,827.75	$39,705.08
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 $1,479.45 / $2,223.73 / $3,129.69	Professional		$1,479.45	$2,223.73	$3,129.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,643.76 / $2,540.36 / $6,323.33	Professional		$1,643.76	$2,540.36	$6,323.33
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 $1,791.95 / $1,942.63 / $2,141.37	Professional		$1,791.95	$1,942.63	$2,141.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,470.82	Professional		$32.34	$32.34	$2,470.82
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 $1,500.70 / $2,071.23 / $3,522.94	Professional		$1,500.70	$2,071.23	$3,522.94