Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,619.72 / $5,549.00	Facility		$1,159.00	$3,619.72	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,733.26 / $2,198.26 / $3,619.72	Professional		$1,733.26	$2,198.26	$3,619.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,991.71 / $25,650.72 / $51,365.56	Facility		$11,991.71	$25,650.72	$51,365.56
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 $1,849.43 / $2,743.29 / $3,988.52	Professional		$1,849.43	$2,743.29	$3,988.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,031.67 / $3,148.81 / $9,947.76	Professional		$2,031.67	$3,148.81	$9,947.76
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 $2,288.65 / $2,401.06 / $2,641.68	Professional		$2,288.65	$2,401.06	$2,641.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,048.09	Professional		$32.34	$32.34	$3,048.09
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 $1,963.05 / $2,881.79 / $4,484.91	Professional		$1,963.05	$2,881.79	$4,484.91