Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,695.24 / $5,549.00	Facility		$1,017.00	$2,695.24	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.88 / $1,517.41 / $2,695.24	Professional		$1,137.88	$1,517.41	$2,695.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,043.43 / $19,344.24 / $38,736.83	Facility		$9,043.43	$19,344.24	$38,736.83
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 $1,345.51 / $2,108.92 / $2,932.73	Professional		$1,345.51	$2,108.92	$2,932.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,541.95 / $2,424.34 / $5,236.05	Professional		$1,541.95	$2,424.34	$5,236.05
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 $1,539.85 / $1,853.90 / $2,141.88	Professional		$1,539.85	$1,853.90	$2,141.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,421.96	Professional		$32.34	$32.34	$2,421.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $7,842.00 / $21,651.00	Facility		$2,421.00	$7,842.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,291.75 / $1,838.88 / $3,235.12	Professional		$1,291.75	$1,838.88	$3,235.12