Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.20 / $2,989.00 / $7,125.00	Facility		$1,039.20	$2,989.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.63 / $1,087.63 / $2,128.31	Professional		$1,019.63	$1,087.63	$2,128.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,802.23 / $11,469.87 / $26,063.11	Facility		$6,802.23	$11,469.87	$26,063.11
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 $1,210.94 / $1,644.00 / $2,451.44	Professional		$1,210.94	$1,644.00	$2,451.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,218.59 / $1,914.96 / $4,873.37	Professional		$1,218.59	$1,914.96	$4,873.37
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 $1,367.44 / $1,440.17 / $1,583.11	Professional		$1,367.44	$1,440.17	$1,583.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,826.67	Professional		$32.34	$32.34	$1,826.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,175.97 / $1,664.91 / $2,549.92	Professional		$1,175.97	$1,664.91	$2,549.92