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 $2,783.79 / $3,315.61 / $5,261.25	Professional		$2,783.79	$3,315.61	$5,261.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,674.52 / $31,389.36 / $62,857.19	Facility		$14,674.52	$31,389.36	$62,857.19
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 $2,700.65 / $4,050.01 / $6,631.88	Professional		$2,700.65	$4,050.01	$6,631.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,780.05 / $4,323.89 / $13,406.41	Professional		$2,780.05	$4,323.89	$13,406.41
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 $2,984.72 / $3,453.57 / $3,858.67	Professional		$2,984.72	$3,453.57	$3,858.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,363.27	Professional		$32.34	$32.34	$4,363.27
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 $2,829.79 / $3,936.30 / $6,808.47	Professional		$2,829.79	$3,936.30	$6,808.47