Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,270.00 / $6,081.45	Facility		$1,129.00	$3,270.00	$6,081.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,800.01 / $2,144.13 / $3,393.84	Professional		$1,800.01	$2,144.13	$3,393.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,489.68 / $20,298.80 / $40,648.33	Facility		$9,489.68	$20,298.80	$40,648.33
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 $1,908.84 / $2,682.96 / $4,200.82	Professional		$1,908.84	$2,682.96	$4,200.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,824.73 / $2,923.46 / $7,038.23	Professional		$1,824.73	$2,923.46	$7,038.23
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 $1,943.68 / $2,235.58 / $2,497.73	Professional		$1,943.68	$2,235.58	$2,497.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,824.37	Professional		$32.34	$32.34	$2,824.37
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,800.00 / $6,650.00	Facility		$785.00	$2,800.00	$6,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,894.78 / $2,636.42 / $4,395.43	Professional		$1,894.78	$2,636.42	$4,395.43