Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,989.00 / $5,580.00	Facility		$1,129.00	$2,989.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,342.17 / $3,549.42 / $4,319.49	Professional		$2,342.17	$3,549.42	$4,319.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,821.73 / $24,992.73 / $31,925.02	Facility		$12,821.73	$24,992.73	$31,925.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $18,280.32	Facility		$400.00	$785.00	$18,280.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,893.14 / $1,893.14 / $6,665.76	Professional		$1,893.14	$1,893.14	$6,665.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $16,566.87 / $16,566.87 / $17,862.12	Facility		$16,566.87	$16,566.87	$17,862.12
United Facility/Professional Professional Modifier Low / Median / High Price $3,964.08 / $5,148.53 / $7,817.71	Professional		$3,964.08	$5,148.53	$7,817.71