Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $3,568.21 / $7,001.00	Facility		$1,105.00	$3,568.21	$7,001.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,556.11 / $2,003.55 / $3,638.98	Professional		$1,556.11	$2,003.55	$3,638.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,403.37 / $26,531.28 / $53,128.88	Facility		$12,403.37	$26,531.28	$53,128.88
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 $1,803.41 / $2,830.35 / $4,143.17	Professional		$1,803.41	$2,830.35	$4,143.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,085.02 / $3,207.73 / $6,718.49	Professional		$2,085.02	$3,207.73	$6,718.49
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 $2,031.51 / $2,452.96 / $2,834.81	Professional		$2,031.51	$2,452.96	$2,834.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,205.51	Professional		$32.34	$32.34	$3,205.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,796.35 / $2,445.23 / $4,316.75	Professional		$1,796.35	$2,445.23	$4,316.75