Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,031.10 / $5,549.00	Facility		$1,159.00	$3,031.10	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,553.20 / $3,031.10	Professional		$1,429.07	$1,553.20	$3,031.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,526.75 / $20,378.08 / $40,807.10	Facility		$9,526.75	$20,378.08	$40,807.10
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 $1,634.32 / $2,311.89 / $3,429.67	Professional		$1,634.32	$2,311.89	$3,429.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,714.05 / $2,664.57 / $6,874.51	Professional		$1,714.05	$2,664.57	$6,874.51
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 $1,918.28 / $2,025.70 / $2,226.26	Professional		$1,918.28	$2,025.70	$2,226.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,568.77	Professional		$32.34	$32.34	$2,568.77
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,683.58 / $2,295.42 / $4,194.64	Professional		$1,683.58	$2,295.42	$4,194.64