Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,352.00 / $5,549.00	Facility		$1,017.00	$2,352.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,896.56 / $2,118.00 / $3,544.53	Professional		$1,896.56	$2,118.00	$3,544.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,037.47 / $21,515.50 / $46,928.02	Facility		$5,037.47	$21,515.50	$46,928.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,071.17 / $3,020.92 / $4,615.39	Professional		$2,071.17	$3,020.92	$4,615.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,270.74 / $2,084.01 / $9,867.43	Professional		$1,270.74	$2,084.01	$9,867.43
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 $1,494.99 / $1,594.97 / $1,747.88	Professional		$1,494.99	$1,594.97	$1,747.88
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 $1,690.00 / $5,000.00 / $8,995.00	Facility		$1,690.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,209.58 / $3,010.64 / $5,362.54	Professional		$2,209.58	$3,010.64	$5,362.54