Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,383.56 / $5,549.00	Facility		$1,159.00	$2,383.56	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.85 / $1,343.09 / $2,383.56	Professional		$1,049.85	$1,343.09	$2,383.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,004.49 / $17,121.91 / $34,286.64	Facility		$8,004.49	$17,121.91	$34,286.64
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 $1,196.76 / $1,970.86 / $2,639.20	Professional		$1,196.76	$1,970.86	$2,639.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,355.32 / $2,086.19 / $6,321.68	Professional		$1,355.32	$2,086.19	$6,321.68
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 $1,372.88 / $1,643.67 / $1,897.87	Professional		$1,372.88	$1,643.67	$1,897.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,189.85	Professional		$32.34	$32.34	$2,189.85
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,295.06 / $1,920.22 / $2,890.85	Professional		$1,295.06	$1,920.22	$2,890.85