Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,384.46 / $5,549.00	Facility		$1,017.00	$3,384.46	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,450.32 / $1,899.55 / $3,384.46	Professional		$1,450.32	$1,899.55	$3,384.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,320.90 / $24,215.84 / $48,492.21	Facility		$11,320.90	$24,215.84	$48,492.21
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 $1,701.35 / $2,637.34 / $3,852.23	Professional		$1,701.35	$2,637.34	$3,852.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,984.51 / $3,064.87 / $7,023.45	Professional		$1,984.51	$3,064.87	$7,023.45
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 $1,911.01 / $2,316.85 / $2,678.55	Professional		$1,911.01	$2,316.85	$2,678.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,028.82	Professional		$32.34	$32.34	$3,028.82
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 $1,705.85 / $2,403.27 / $4,050.21	Professional		$1,705.85	$2,403.27	$4,050.21