Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,335.00 / $7,000.00	Facility		$1,017.00	$3,335.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,360.80 / $2,883.95 / $5,387.25	Professional		$2,360.80	$2,883.95	$5,387.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,600.40 / $37,647.92 / $75,389.95	Facility		$17,600.40	$37,647.92	$75,389.95
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 $2,606.28 / $4,021.00 / $6,048.56	Professional		$2,606.28	$4,021.00	$6,048.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,038.60 / $4,698.81 / $11,463.56	Professional		$3,038.60	$4,698.81	$11,463.56
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 $3,239.54 / $3,591.07 / $3,992.46	Professional		$3,239.54	$3,591.07	$3,992.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,514.55	Professional		$32.34	$32.34	$4,514.55
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 $2,683.49 / $3,660.34 / $6,411.39	Professional		$2,683.49	$3,660.34	$6,411.39