Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,221.00 / $5,580.00	Facility		$1,129.00	$3,221.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,292.48 / $2,818.09 / $5,214.93	Professional		$2,292.48	$2,818.09	$5,214.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,198.46 / $36,788.16 / $73,668.28	Facility		$17,198.46	$36,788.16	$73,668.28
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 $2,551.36 / $3,932.56 / $5,702.21	Professional		$2,551.36	$3,932.56	$5,702.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,046.57 / $4,588.25 / $9,310.29	Professional		$3,046.57	$4,588.25	$9,310.29
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 $3,184.78 / $3,508.66 / $3,901.51	Professional		$3,184.78	$3,508.66	$3,901.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,411.71	Professional		$32.34	$32.34	$4,411.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,586.11 / $3,563.60 / $6,196.26	Professional		$2,586.11	$3,563.60	$6,196.26