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 $2,188.46 / $2,604.17 / $4,874.52	Professional		$2,188.46	$2,604.17	$4,874.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,892.98 / $33,995.68 / $68,076.34	Facility		$15,892.98	$33,995.68	$68,076.34
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 $2,659.03 / $3,705.29 / $5,492.43	Professional		$2,659.03	$3,705.29	$5,492.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,927.58 / $4,315.97 / $10,143.35	Professional		$2,927.58	$4,315.97	$10,143.35
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 $3,033.86 / $3,256.55 / $3,568.06	Professional		$3,033.86	$3,256.55	$3,568.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,034.65	Professional		$32.34	$32.34	$4,034.65
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 $2,461.46 / $3,467.02 / $5,683.82	Professional		$2,461.46	$3,467.02	$5,683.82