Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,636.00 / $5,549.00	Facility		$1,159.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,809.81 / $2,288.17 / $3,774.87	Professional		$1,809.81	$2,288.17	$3,774.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,482.13 / $26,699.76 / $53,466.26	Facility		$12,482.13	$26,699.76	$53,466.26
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 $1,746.93 / $2,865.98 / $4,130.89	Professional		$1,746.93	$2,865.98	$4,130.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,092.06 / $3,248.11 / $8,444.64	Professional		$2,092.06	$3,248.11	$8,444.64
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 $2,364.92 / $2,514.51 / $2,759.84	Professional		$2,364.92	$2,514.51	$2,759.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,184.43	Professional		$32.34	$32.34	$3,184.43
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.23 / $2,869.98 / $4,720.38	Professional		$2,089.23	$2,869.98	$4,720.38