Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,487.52 / $5,549.00	Facility		$1,159.00	$2,487.52	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.32 / $1,398.68 / $2,487.52	Professional		$1,092.32	$1,398.68	$2,487.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,335.78 / $13,729.53 / $31,938.99	Facility		$8,335.78	$13,729.53	$31,938.99
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 $1,375.47 / $2,048.48 / $2,786.28	Professional		$1,375.47	$2,048.48	$2,786.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,444.30 / $2,276.10 / $5,230.99	Professional		$1,444.30	$2,276.10	$5,230.99
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 $1,413.69 / $1,706.90 / $1,972.62	Professional		$1,413.69	$1,706.90	$1,972.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,276.10	Professional		$32.34	$32.34	$2,276.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,322.68 / $1,978.80 / $3,392.37	Professional		$1,322.68	$1,978.80	$3,392.37