Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,198.85 / $5,405.00	Facility		$1,129.00	$2,198.85	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $967.42 / $1,238.21 / $2,198.85	Professional		$967.42	$1,238.21	$2,198.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,544.51 / $12,154.41 / $28,274.80	Facility		$2,544.51	$12,154.41	$28,274.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.24 / $1,816.14 / $2,429.28	Professional		$1,192.24	$1,816.14	$2,429.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,280.72 / $2,017.94 / $5,420.91	Professional		$1,280.72	$2,017.94	$5,420.91
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 $1,257.26 / $1,513.58 / $1,748.88	Professional		$1,257.26	$1,513.58	$1,748.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,017.94	Professional		$32.34	$32.34	$2,017.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,625.00	Facility		$1,282.00	$3,751.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,171.10 / $1,746.71 / $2,999.92	Professional		$1,171.10	$1,746.71	$2,999.92