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 $1,823.93 / $2,312.94 / $3,818.00	Professional		$1,823.93	$2,312.94	$3,818.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,617.26 / $26,988.80 / $54,045.07	Facility		$12,617.26	$26,988.80	$54,045.07
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 $2,009.38 / $2,885.37 / $4,197.28	Professional		$2,009.38	$2,885.37	$4,197.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.06 / $3,322.15 / $10,469.33	Professional		$2,137.06	$3,322.15	$10,469.33
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 $2,405.90 / $2,525.61 / $2,778.50	Professional		$2,405.90	$2,525.61	$2,778.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,205.97	Professional		$32.34	$32.34	$3,205.97
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 $2,071.52 / $2,751.58 / $4,549.28	Professional		$2,071.52	$2,751.58	$4,549.28