Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,304.01 / $5,430.00	Facility		$1,017.00	$2,304.01	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $941.37 / $1,223.94 / $2,304.01	Professional		$941.37	$1,223.94	$2,304.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,687.00 / $13,676.70 / $29,830.61	Facility		$2,687.00	$13,676.70	$29,830.61
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 $985.68 / $1,745.12 / $2,367.84	Professional		$985.68	$1,745.12	$2,367.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,226.85 / $2,061.69 / $4,275.95	Professional		$1,226.85	$2,061.69	$4,275.95
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 $1,333.10 / $1,594.92 / $1,841.24	Professional		$1,333.10	$1,594.92	$1,841.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,082.02	Professional		$32.34	$32.34	$2,082.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,664.00 / $5,124.53	Facility		$1,095.00	$2,664.00	$5,124.53
United Facility/Professional Professional Modifier Low / Median / High Price $973.50 / $1,408.38 / $2,778.78	Professional		$973.50	$1,408.38	$2,778.78