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 $2,119.69 / $2,912.07 / $5,417.75	Professional		$2,119.69	$2,912.07	$5,417.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,829.73 / $31,219.78 / $68,094.28	Facility		$9,829.73	$31,219.78	$68,094.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $7,626.43	Facility		$875.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,608.15 / $4,034.39 / $5,759.05	Professional		$2,608.15	$4,034.39	$5,759.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,126.75 / $4,744.17 / $8,964.40	Professional		$3,126.75	$4,744.17	$8,964.40
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 $3,286.22 / $3,627.90 / $4,034.38	Professional		$3,286.22	$3,627.90	$4,034.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,561.95	Professional		$32.34	$32.34	$4,561.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,521.21 / $3,442.84 / $6,402.76	Professional		$2,521.21	$3,442.84	$6,402.76