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 $1,051.84 / $1,281.34 / $1,857.87	Professional		$1,051.84	$1,281.34	$1,857.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,013.41 / $11,090.29 / $24,189.32	Facility		$5,013.41	$11,090.29	$24,189.32
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 $883.70 / $1,357.82 / $2,027.17	Professional		$883.70	$1,357.82	$2,027.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $944.71 / $1,540.88 / $4,538.33	Professional		$944.71	$1,540.88	$4,538.33
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 $1,263.20 / $1,273.85 / $1,387.01	Professional		$1,263.20	$1,273.85	$1,387.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,568.39	Professional		$32.34	$32.34	$1,568.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,981.00	Facility		$1,690.00	$5,000.00	$8,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $926.82 / $1,207.26 / $2,115.41	Professional		$926.82	$1,207.26	$2,115.41