Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,738.65 / $5,549.00	Facility		$1,159.00	$2,738.65	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,231.27 / $1,413.61 / $2,738.65	Professional		$1,231.27	$1,413.61	$2,738.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,647.40 / $18,497.12 / $37,040.48	Facility		$8,647.40	$18,497.12	$37,040.48
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 $1,401.89 / $2,070.01 / $2,915.61	Professional		$1,401.89	$2,070.01	$2,915.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,530.87 / $2,365.89 / $7,559.32	Professional		$1,530.87	$2,365.89	$7,559.32
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 $1,667.08 / $1,809.21 / $1,993.34	Professional		$1,667.08	$1,809.21	$1,993.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,300.01	Professional		$32.34	$32.34	$2,300.01
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 $1,406.92 / $1,898.72 / $3,293.08	Professional		$1,406.92	$1,898.72	$3,293.08