Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,533.58 / $5,430.00	Facility		$1,017.00	$2,533.58	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,105.41 / $1,390.87 / $2,431.35	Professional		$1,105.41	$1,390.87	$2,431.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,568.70 / $18,328.80 / $36,703.42	Facility		$8,568.70	$18,328.80	$36,703.42
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 $1,254.10 / $2,003.09 / $2,828.76	Professional		$1,254.10	$2,003.09	$2,828.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,459.36 / $2,296.28 / $5,196.42	Professional		$1,459.36	$2,296.28	$5,196.42
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 $1,468.78 / $1,755.98 / $2,027.00	Professional		$1,468.78	$1,755.98	$2,027.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,292.07	Professional		$32.34	$32.34	$2,292.07
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 $1,234.14 / $1,737.58 / $3,060.23	Professional		$1,234.14	$1,737.58	$3,060.23