Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,636.00 / $5,769.90	Facility		$1,017.00	$3,636.00	$5,769.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,264.69 / $2,812.98 / $5,215.59	Professional		$2,264.69	$2,812.98	$5,215.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,167.31 / $36,721.51 / $73,534.84	Facility		$17,167.31	$36,721.51	$73,534.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,668.76 / $3,961.96 / $5,525.48	Professional		$2,668.76	$3,961.96	$5,525.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,103.66 / $4,581.26 / $9,409.90	Professional		$3,103.66	$4,581.26	$9,409.90
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 $3,179.16 / $3,503.32 / $3,895.49	Professional		$3,179.16	$3,503.32	$3,895.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,404.89	Professional		$32.34	$32.34	$4,404.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $7,842.00 / $21,651.00	Facility		$2,421.00	$7,842.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,439.98 / $3,358.25 / $6,190.43	Professional		$2,439.98	$3,358.25	$6,190.43