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 $1,686.07 / $2,032.05 / $3,829.15	Professional		$1,686.07	$2,032.05	$3,829.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,401.35 / $26,526.96 / $53,120.23	Facility		$12,401.35	$26,526.96	$53,120.23
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 $1,664.73 / $2,794.46 / $4,084.21	Professional		$1,664.73	$2,794.46	$4,084.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,083.67 / $3,288.87 / $7,350.80	Professional		$2,083.67	$3,288.87	$7,350.80
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 $2,355.46 / $2,520.46 / $2,794.47	Professional		$2,355.46	$2,520.46	$2,794.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,159.90	Professional		$32.34	$32.34	$3,159.90
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 $1,825.46 / $2,394.06 / $4,491.66	Professional		$1,825.46	$2,394.06	$4,491.66