Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,467.08 / $7,212.29	Facility		$1,129.00	$3,467.08	$7,212.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.53 / $2,556.60 / $4,005.60	Professional		$2,137.53	$2,556.60	$4,005.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,315.22 / $24,203.68 / $48,467.86	Facility		$11,315.22	$24,203.68	$48,467.86
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 $2,130.91 / $3,091.17 / $4,991.81	Professional		$2,130.91	$3,091.17	$4,991.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,164.35 / $3,365.11 / $9,478.79	Professional		$2,164.35	$3,365.11	$9,478.79
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 $2,260.92 / $2,651.30 / $2,973.91	Professional		$2,260.92	$2,651.30	$2,973.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,362.80	Professional		$32.34	$32.34	$3,362.80
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 $2,158.16 / $3,107.29 / $5,192.53	Professional		$2,158.16	$3,107.29	$5,192.53