Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,636.00 / $5,549.00	Facility		$1,017.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,599.79 / $2,095.62 / $3,725.33	Professional		$1,599.79	$2,095.62	$3,725.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,489.43 / $26,715.36 / $53,497.50	Facility		$12,489.43	$26,715.36	$53,497.50
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 $1,875.37 / $2,947.67 / $4,248.16	Professional		$1,875.37	$2,947.67	$4,248.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,188.57 / $3,379.60 / $7,704.53	Professional		$2,188.57	$3,379.60	$7,704.53
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 $2,107.51 / $2,554.64 / $2,953.60	Professional		$2,107.51	$2,554.64	$2,953.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,339.84	Professional		$32.34	$32.34	$3,339.84
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 $1,882.54 / $2,670.49 / $4,450.81	Professional		$1,882.54	$2,670.49	$4,450.81