Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,865.75 / $7,407.00	Facility		$1,129.00	$3,865.75	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,225.25 / $3,865.75 / $6,141.04	Professional		$2,225.25	$3,865.75	$6,141.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,109.37 / $36,597.60 / $73,286.69	Facility		$17,109.37	$36,597.60	$73,286.69
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 $3,094.03 / $4,725.58 / $6,585.42	Professional		$3,094.03	$4,725.58	$6,585.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,250.38 / $4,952.96 / $12,606.89	Professional		$3,250.38	$4,952.96	$12,606.89
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 $3,465.67 / $4,024.28 / $4,495.67	Professional		$3,465.67	$4,024.28	$4,495.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,083.57	Professional		$32.34	$32.34	$5,083.57
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 $3,124.18 / $4,516.71 / $7,942.49	Professional		$3,124.18	$4,516.71	$7,942.49