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 $2,154.38 / $2,728.88 / $4,526.27	Professional		$2,154.38	$2,728.88	$4,526.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,886.28 / $31,842.32 / $63,764.24	Facility		$14,886.28	$31,842.32	$63,764.24
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 $2,490.44 / $3,407.16 / $4,945.43	Professional		$2,490.44	$3,407.16	$4,945.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,526.05 / $3,926.86 / $9,888.00	Professional		$2,526.05	$3,926.86	$9,888.00
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 $2,829.89 / $2,985.33 / $3,280.97	Professional		$2,829.89	$2,985.33	$3,280.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,785.73	Professional		$32.34	$32.34	$3,785.73
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 $2,459.54 / $3,278.11 / $5,388.84	Professional		$2,459.54	$3,278.11	$5,388.84