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 $1,938.97 / $2,341.54 / $4,348.79	Professional		$1,938.97	$2,341.54	$4,348.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,290.12 / $30,567.12 / $61,210.65	Facility		$14,290.12	$30,567.12	$61,210.65
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 $2,243.85 / $3,353.22 / $4,919.43	Professional		$2,243.85	$3,353.22	$4,919.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,608.06 / $3,837.50 / $9,710.52	Professional		$2,608.06	$3,837.50	$9,710.52
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 $2,680.24 / $2,917.40 / $3,229.03	Professional		$2,680.24	$2,917.40	$3,229.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,651.29	Professional		$32.34	$32.34	$3,651.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,945.00 / $11,479.00	Facility		$2,100.00	$5,945.00	$11,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,182.37 / $2,963.99 / $5,173.97	Professional		$2,182.37	$2,963.99	$5,173.97