Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,636.00 / $5,549.00	Facility		$1,017.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,015.44 / $2,458.21 / $4,636.27	Professional		$2,015.44	$2,458.21	$4,636.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.91 / $26,354.24 / $57,481.92	Facility		$8,139.91	$26,354.24	$57,481.92
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 $2,206.61 / $3,381.88 / $4,942.74	Professional		$2,206.61	$3,381.88	$4,942.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,582.10 / $3,990.51 / $8,873.85	Professional		$2,582.10	$3,990.51	$8,873.85
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 $2,837.59 / $3,051.57 / $3,381.87	Professional		$2,837.59	$3,051.57	$3,381.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,824.12	Professional		$32.34	$32.34	$3,824.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,181.69 / $2,955.73 / $5,432.91	Professional		$2,181.69	$2,955.73	$5,432.91