Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,636.00 / $7,407.00	Facility		$1,129.00	$3,636.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,474.40 / $2,946.71 / $4,791.58	Professional		$2,474.40	$2,946.71	$4,791.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,041.79 / $27,896.88 / $55,863.50	Facility		$13,041.79	$27,896.88	$55,863.50
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 $2,157.59 / $3,587.93 / $5,832.80	Professional		$2,157.59	$3,587.93	$5,832.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.96 / $3,776.18 / $9,732.45	Professional		$2,187.96	$3,776.18	$9,732.45
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 $2,646.72 / $3,068.14 / $3,427.27	Professional		$2,646.72	$3,068.14	$3,427.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,875.45	Professional		$32.34	$32.34	$3,875.45
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 $2,515.08 / $3,645.79 / $6,051.28	Professional		$2,515.08	$3,645.79	$6,051.28