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 / $5,858.37	Facility		$1,017.00	$3,636.00	$5,858.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,302.02 / $2,854.02 / $4,820.95	Professional		$2,302.02	$2,854.02	$4,820.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,417.74 / $37,257.19 / $74,607.53	Facility		$17,417.74	$37,257.19	$74,607.53
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 $2,688.31 / $4,030.92 / $5,525.48	Professional		$2,688.31	$4,030.92	$5,525.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,039.34 / $4,645.78 / $10,541.77	Professional		$3,039.34	$4,645.78	$10,541.77
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 $3,226.63 / $3,552.65 / $3,951.14	Professional		$3,226.63	$3,552.65	$3,951.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,467.83	Professional		$32.34	$32.34	$4,467.83
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 $2,433.30 / $3,403.22 / $6,255.44	Professional		$2,433.30	$3,403.22	$6,255.44