Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.60 / $1,942.11 / $5,549.00	Facility		$1,090.60	$1,942.11	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.18 / $1,090.60 / $1,942.11	Professional		$852.18	$1,090.60	$1,942.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,499.78 / $13,903.28 / $27,841.31	Facility		$6,499.78	$13,903.28	$27,841.31
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 $988.91 / $1,576.51 / $1,977.97	Professional		$988.91	$1,576.51	$1,977.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.01 / $1,691.02 / $3,445.72	Professional		$1,081.01	$1,691.02	$3,445.72
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 $1,108.64 / $1,332.32 / $1,539.03	Professional		$1,108.64	$1,332.32	$1,539.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,775.81	Professional		$32.34	$32.34	$1,775.81
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 $952.37 / $1,315.95 / $2,352.64	Professional		$952.37	$1,315.95	$2,352.64