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 / $6,717.14	Facility		$1,159.00	$3,636.00	$6,717.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,638.21 / $3,337.81 / $5,601.01	Professional		$2,638.21	$3,337.81	$5,601.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,208.04 / $38,947.68 / $77,992.72	Facility		$18,208.04	$38,947.68	$77,992.72
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 $2,945.58 / $4,166.62 / $6,041.67	Professional		$2,945.58	$4,166.62	$6,041.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,091.57 / $4,805.99 / $15,098.22	Professional		$3,091.57	$4,805.99	$15,098.22
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 $3,444.51 / $3,653.68 / $4,012.31	Professional		$3,444.51	$3,653.68	$4,012.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,629.59	Professional		$32.34	$32.34	$4,629.59
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 $2,910.47 / $4,155.76 / $6,956.65	Professional		$2,910.47	$4,155.76	$6,956.65