Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,392.00 / $5,549.00	Facility		$1,017.00	$3,392.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,557.02 / $2,032.64 / $4,032.88	Professional		$1,557.02	$2,032.64	$4,032.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,114.04 / $25,912.40 / $51,889.58	Facility		$12,114.04	$25,912.40	$51,889.58
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 $1,794.28 / $2,825.14 / $4,137.53	Professional		$1,794.28	$2,825.14	$4,137.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,095.59 / $3,242.68 / $7,320.75	Professional		$2,095.59	$3,242.68	$7,320.75
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 $2,059.06 / $2,479.69 / $2,864.89	Professional		$2,059.06	$2,479.69	$2,864.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,239.53	Professional		$32.34	$32.34	$3,239.53
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 $1,790.86 / $2,482.32 / $4,324.34	Professional		$1,790.86	$2,482.32	$4,324.34