Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,118.76 / $5,549.00	Facility		$1,017.00	$3,118.76	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.06 / $1,752.69 / $3,118.76	Professional		$1,340.06	$1,752.69	$3,118.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,445.59 / $22,343.52 / $44,742.89	Facility		$10,445.59	$22,343.52	$44,742.89
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 $1,569.63 / $2,468.63 / $3,577.30	Professional		$1,569.63	$2,468.63	$3,577.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,810.33 / $2,810.32 / $6,491.92	Professional		$1,810.33	$2,810.32	$6,491.92
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 $1,769.69 / $2,139.48 / $2,472.77	Professional		$1,769.69	$2,139.48	$2,472.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,796.13	Professional		$32.34	$32.34	$2,796.13
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,690.00 / $6,362.00	Facility		$800.00	$2,690.00	$6,362.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,546.36 / $2,234.96 / $3,737.85	Professional		$1,546.36	$2,234.96	$3,737.85