Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,355.29 / $5,549.00	Facility		$1,017.00	$3,355.29	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,438.34 / $1,799.58 / $3,355.29	Professional		$1,438.34	$1,799.58	$3,355.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,226.24 / $24,013.36 / $48,086.75	Facility		$11,226.24	$24,013.36	$48,086.75
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 $1,670.05 / $2,617.23 / $3,639.60	Professional		$1,670.05	$2,617.23	$3,639.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,945.22 / $3,006.25 / $8,187.42	Professional		$1,945.22	$3,006.25	$8,187.42
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 $1,895.93 / $2,298.89 / $2,658.14	Professional		$1,895.93	$2,298.89	$2,658.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,005.74	Professional		$32.34	$32.34	$3,005.74
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,800.00 / $7,384.00	Facility		$800.00	$2,800.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,680.61 / $2,306.87 / $4,016.04	Professional		$1,680.61	$2,306.87	$4,016.04