Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,989.00 / $5,549.00	Facility		$1,017.00	$2,989.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.21 / $1,243.56 / $1,411.55	Professional		$923.21	$1,243.56	$1,411.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,923.20 / $5,660.41 / $21,994.73	Facility		$2,923.20	$5,660.41	$21,994.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $587.00 / $1,404.20	Facility		$400.00	$587.00	$1,404.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.10 / $1,109.10 / $1,203.31	Professional		$1,109.10	$1,109.10	$1,203.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.34 / $1,565.76 / $2,945.41	Professional		$1,100.34	$1,565.76	$2,945.41
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 $1,402.26 / $1,602.74 / $1,802.05	Professional		$1,402.26	$1,602.74	$1,802.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,037.70	Professional		$32.34	$32.34	$2,037.70
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,147.03 / $1,567.98 / $2,594.96	Professional		$1,147.03	$1,567.98	$2,594.96