Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,070.75 / $1,933.03 / $7,723.00	Facility		$1,070.75	$1,933.03	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.46 / $1,070.75 / $1,933.03	Professional		$933.46	$1,070.75	$1,933.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,550.04 / $14,010.80 / $28,056.62	Facility		$6,550.04	$14,010.80	$28,056.62
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 $1,086.44 / $1,557.65 / $2,256.56	Professional		$1,086.44	$1,557.65	$2,256.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,152.48 / $1,781.95 / $6,074.25	Professional		$1,152.48	$1,781.95	$6,074.25
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 $1,246.31 / $1,362.02 / $1,499.97	Professional		$1,246.31	$1,362.02	$1,499.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,730.73	Professional		$32.34	$32.34	$1,730.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.53 / $1,534.78 / $2,742.78	Professional		$1,115.53	$1,534.78	$2,742.78