Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $3,700.00 / $7,407.00	Facility		$1,105.00	$3,700.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,084.23 / $2,544.14 / $4,744.14	Professional		$2,084.23	$2,544.14	$4,744.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,526.57 / $33,211.92 / $66,506.86	Facility		$15,526.57	$33,211.92	$66,506.86
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 $2,533.67 / $3,657.49 / $5,541.58	Professional		$2,533.67	$3,657.49	$5,541.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,844.71 / $4,166.97 / $9,861.69	Professional		$2,844.71	$4,166.97	$9,861.69
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 $2,864.46 / $3,167.88 / $3,522.03	Professional		$2,864.46	$3,167.88	$3,522.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,982.60	Professional		$32.34	$32.34	$3,982.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $7,842.00 / $21,651.00	Facility		$2,421.00	$7,842.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,425.91 / $3,377.78 / $5,641.35	Professional		$2,425.91	$3,377.78	$5,641.35