Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $3,221.00 / $8,125.00	Facility		$1,272.00	$3,221.00	$8,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.28 / $1,315.81 / $2,414.21	Professional		$1,084.28	$1,315.81	$2,414.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,226.25 / $18,375.30 / $30,768.22	Facility		$13,226.25	$18,375.30	$30,768.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $12,907.00 / $14,409.12	Facility		$1,383.00	$12,907.00	$14,409.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.58 / $1,855.24 / $2,727.52	Professional		$1,269.58	$1,855.24	$2,727.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,471.50 / $2,158.09 / $5,286.27	Professional		$1,471.50	$2,158.09	$5,286.27
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 $1,506.60 / $1,640.65 / $1,825.63	Professional		$1,506.60	$1,640.65	$1,825.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,064.37	Professional		$32.34	$32.34	$2,064.37
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 $1,202.76 / $1,616.20 / $2,867.92	Professional		$1,202.76	$1,616.20	$2,867.92