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 $2,373.88 / $2,826.10 / $5,435.70	Professional		$2,373.88	$2,826.10	$5,435.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,247.34 / $36,892.72 / $73,877.67	Facility		$17,247.34	$36,892.72	$73,877.67
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 $2,783.25 / $4,018.94 / $5,877.65	Professional		$2,783.25	$4,018.94	$5,877.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,220.72 / $4,647.52 / $10,628.70	Professional		$3,220.72	$4,647.52	$10,628.70
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 $3,288.97 / $3,533.21 / $3,870.09	Professional		$3,288.97	$3,533.21	$3,870.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,376.18	Professional		$32.34	$32.34	$4,376.18
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 $2,577.15 / $3,592.06 / $6,142.84	Professional		$2,577.15	$3,592.06	$6,142.84