Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,567.71 / $5,549.00	Facility		$1,159.00	$3,567.71	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,708.60 / $2,167.25 / $3,567.71	Professional		$1,708.60	$2,167.25	$3,567.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,822.51 / $25,288.80 / $50,640.82	Facility		$11,822.51	$25,288.80	$50,640.82
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 $1,848.14 / $2,704.41 / $3,932.57	Professional		$1,848.14	$2,704.41	$3,932.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,002.65 / $3,113.21 / $9,810.12	Professional		$2,002.65	$3,113.21	$9,810.12
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 $2,257.00 / $2,366.77 / $2,604.25	Professional		$2,257.00	$2,366.77	$2,604.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,004.91	Professional		$32.34	$32.34	$3,004.91
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 $1,931.86 / $2,858.47 / $5,240.57	Professional		$1,931.86	$2,858.47	$5,240.57