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 / $5,549.00	Facility		$1,129.00	$3,221.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,530.39 / $1,818.98 / $3,489.24	Professional		$1,530.39	$1,818.98	$3,489.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,101.03 / $23,745.52 / $47,550.40	Facility		$11,101.03	$23,745.52	$47,550.40
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 $1,831.85 / $2,602.15 / $3,943.65	Professional		$1,831.85	$2,602.15	$3,943.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,070.10 / $2,988.49 / $8,330.54	Professional		$2,070.10	$2,988.49	$8,330.54
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 $2,123.17 / $2,268.01 / $2,486.50	Professional		$2,123.17	$2,268.01	$2,486.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,811.65	Professional		$32.34	$32.34	$2,811.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,619.00 / $12,241.00	Facility		$2,100.00	$5,619.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,743.00 / $2,363.48 / $4,060.09	Professional		$1,743.00	$2,363.48	$4,060.09