Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,200.00 / $5,389.00	Facility		$800.00	$2,200.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,497.29 / $1,718.60 / $3,349.52	Professional		$1,497.29	$1,718.60	$3,349.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,375.02 / $17,315.75 / $40,281.62	Facility		$4,375.02	$17,315.75	$40,281.62
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 $1,614.40 / $2,522.89 / $3,585.14	Professional		$1,614.40	$2,522.89	$3,585.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,865.33 / $2,859.28 / $7,202.67	Professional		$1,865.33	$2,859.28	$7,202.67
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 $2,030.99 / $2,204.48 / $2,429.44	Professional		$2,030.99	$2,204.48	$2,429.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,803.22	Professional		$32.34	$32.34	$2,803.22
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,719.52 / $2,326.77 / $4,022.17	Professional		$1,719.52	$2,326.77	$4,022.17