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 $1,872.59 / $2,373.92 / $3,991.38	Professional		$1,872.59	$2,373.92	$3,991.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,949.97 / $27,700.48 / $55,470.21	Facility		$12,949.97	$27,700.48	$55,470.21
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 $1,950.50 / $2,963.55 / $4,308.49	Professional		$1,950.50	$2,963.55	$4,308.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,195.23 / $3,358.70 / $10,740.98	Professional		$2,195.23	$3,358.70	$10,740.98
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 $2,468.94 / $2,594.40 / $2,853.80	Professional		$2,468.94	$2,594.40	$2,853.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,292.85	Professional		$32.34	$32.34	$3,292.85
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 $2,114.63 / $2,728.85 / $4,670.97	Professional		$2,114.63	$2,728.85	$4,670.97