Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,489.48 / $6,375.48	Facility		$1,129.00	$3,489.48	$6,375.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,839.55 / $3,489.48 / $6,375.48	Professional		$2,839.55	$3,489.48	$6,375.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,295.93 / $45,552.80 / $91,219.48	Facility		$21,295.93	$45,552.80	$91,219.48
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 $3,138.23 / $4,800.47 / $6,759.27	Professional		$3,138.23	$4,800.47	$6,759.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,692.67 / $5,642.15 / $17,309.43	Professional		$3,692.67	$5,642.15	$17,309.43
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 $3,945.60 / $4,314.58 / $4,800.47	Professional		$3,945.60	$4,314.58	$4,800.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,428.22	Professional		$32.34	$32.34	$5,428.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,983.91 / $4,076.84 / $7,587.23	Professional		$2,983.91	$4,076.84	$7,587.23