Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,422.98 / $5,549.00	Facility		$1,159.00	$3,422.98	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,622.91 / $2,098.14 / $3,422.98	Professional		$1,622.91	$2,098.14	$3,422.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,445.52 / $24,482.40 / $49,026.00	Facility		$11,445.52	$24,482.40	$49,026.00
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 $1,877.32 / $2,663.91 / $3,749.21	Professional		$1,877.32	$2,663.91	$3,749.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,935.04 / $3,030.16 / $8,437.40	Professional		$1,935.04	$3,030.16	$8,437.40
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 $1,969.60 / $2,286.87 / $2,565.25	Professional		$1,969.60	$2,286.87	$2,565.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,959.91	Professional		$32.34	$32.34	$2,959.91
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 $1,879.64 / $2,794.38 / $4,760.85	Professional		$1,879.64	$2,794.38	$4,760.85