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 $2,394.39 / $2,919.94 / $5,427.40	Professional		$2,394.39	$2,919.94	$5,427.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,820.05 / $38,117.76 / $76,330.81	Facility		$17,820.05	$38,117.76	$76,330.81
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 $2,855.01 / $4,198.51 / $6,103.80	Professional		$2,855.01	$4,198.51	$6,103.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,268.22 / $4,786.31 / $13,647.62	Professional		$3,268.22	$4,786.31	$13,647.62
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 $3,296.94 / $3,638.71 / $4,046.37	Professional		$3,296.94	$3,638.71	$4,046.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,575.51	Professional		$32.34	$32.34	$4,575.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,712.03 / $3,669.74 / $6,420.34	Professional		$2,712.03	$3,669.74	$6,420.34