Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $4,253.18 / $7,723.00	Facility		$1,129.00	$4,253.18	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,546.63 / $4,253.18 / $6,793.78	Professional		$3,546.63	$4,253.18	$6,793.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,824.09 / $40,265.44 / $80,631.53	Facility		$18,824.09	$40,265.44	$80,631.53
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 $3,770.54 / $5,334.53 / $8,333.11	Professional		$3,770.54	$5,334.53	$8,333.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,566.73 / $5,808.68 / $13,588.36	Professional		$3,566.73	$5,808.68	$13,588.36
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 $3,764.75 / $4,415.96 / $4,953.49	Professional		$3,764.75	$4,415.96	$4,953.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,601.26	Professional		$32.34	$32.34	$5,601.26
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 $3,745.40 / $5,475.67 / $8,651.04	Professional		$3,745.40	$5,475.67	$8,651.04