Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $3,073.00 / $7,125.00	Facility		$1,207.00	$3,073.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.63 / $1,635.87 / $2,357.69	Professional		$1,294.63	$1,635.87	$2,357.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,188.88 / $14,076.55 / $30,702.74	Facility		$5,188.88	$14,076.55	$30,702.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,236.15 / $1,714.82 / $2,478.91	Professional		$1,236.15	$1,714.82	$2,478.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,183.48 / $1,969.52 / $5,322.45	Professional		$1,183.48	$1,969.52	$5,322.45
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 $1,589.48 / $1,596.08 / $1,741.62	Professional		$1,589.48	$1,596.08	$1,741.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,969.37	Professional		$32.34	$32.34	$1,969.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,342.00 / $8,566.00	Facility		$1,600.00	$4,342.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,108.94 / $1,537.94 / $2,660.97	Professional		$1,108.94	$1,537.94	$2,660.97