Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,106.99 / $2,989.00 / $7,125.00	Facility		$1,106.99	$2,989.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.80 / $1,331.37 / $2,371.17	Professional		$1,085.80	$1,331.37	$2,371.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $11,934.56 / $27,763.37	Facility		$7,091.59	$11,934.56	$27,763.37
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 $1,291.94 / $1,749.23 / $2,614.00	Professional		$1,291.94	$1,749.23	$2,614.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,296.28 / $2,003.35 / $5,173.99	Professional		$1,296.28	$2,003.35	$5,173.99
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 $1,457.52 / $1,531.97 / $1,684.44	Professional		$1,457.52	$1,531.97	$1,684.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,943.58	Professional		$32.34	$32.34	$1,943.58
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 $1,268.86 / $1,758.83 / $2,710.43	Professional		$1,268.86	$1,758.83	$2,710.43