Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,235.00 / $5,405.00	Facility		$1,129.00	$2,235.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,079.10 / $1,309.28 / $1,917.03	Professional		$1,079.10	$1,309.28	$1,917.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,138.27 / $11,350.79 / $24,757.51	Facility		$3,138.27	$11,350.79	$24,757.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,024.66 / $1,421.60 / $2,077.71	Professional		$1,024.66	$1,421.60	$2,077.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $970.76 / $1,626.64 / $4,584.22	Professional		$970.76	$1,626.64	$4,584.22
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 $1,291.23 / $1,308.81 / $1,421.60	Professional		$1,291.23	$1,308.81	$1,421.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,607.50	Professional		$32.34	$32.34	$1,607.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,530.00 / $5,978.00 / $12,241.00	Facility		$1,530.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $967.85 / $1,292.22 / $2,299.71	Professional		$967.85	$1,292.22	$2,299.71