Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,778.75 / $5,430.00	Facility		$1,017.00	$2,778.75	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.04 / $1,510.67 / $2,778.75	Professional		$1,207.04	$1,510.67	$2,778.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,374.87 / $20,053.20 / $40,156.53	Facility		$9,374.87	$20,053.20	$40,156.53
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 $1,292.08 / $2,190.00 / $3,132.59	Professional		$1,292.08	$2,190.00	$3,132.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,570.35 / $2,513.37 / $5,697.32	Professional		$1,570.35	$2,513.37	$5,697.32
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 $1,600.40 / $1,921.99 / $2,220.04	Professional		$1,600.40	$1,921.99	$2,220.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,510.35	Professional		$32.34	$32.34	$2,510.35
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 $1,366.61 / $1,907.59 / $3,319.62	Professional		$1,366.61	$1,907.59	$3,319.62