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 $1,850.77 / $2,360.53 / $4,533.79	Professional		$1,850.77	$2,360.53	$4,533.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,705.12 / $33,593.83 / $67,271.66	Facility		$15,705.12	$33,593.83	$67,271.66
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 $1,899.15 / $3,489.53 / $4,904.02	Professional		$1,899.15	$3,489.53	$4,904.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,655.52 / $4,138.76 / $11,859.54	Professional		$2,655.52	$4,138.76	$11,859.54
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 $2,557.17 / $3,102.31 / $3,586.92	Professional		$2,557.17	$3,102.31	$3,586.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,055.98	Professional		$32.34	$32.34	$4,055.98
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 $2,039.00 / $2,844.90 / $5,115.14	Professional		$2,039.00	$2,844.90	$5,115.14