Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,404.39 / $7,081.88	Facility		$1,129.00	$3,404.39	$7,081.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,096.30 / $2,507.59 / $4,005.16	Professional		$2,096.30	$2,507.59	$4,005.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,098.30 / $23,739.68 / $47,538.70	Facility		$11,098.30	$23,739.68	$47,538.70
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 $2,222.87 / $3,094.64 / $4,435.66	Professional		$2,222.87	$3,094.64	$4,435.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,102.71 / $3,430.92 / $8,579.54	Professional		$2,102.71	$3,430.92	$8,579.54
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 $2,230.10 / $2,603.35 / $2,920.24	Professional		$2,230.10	$2,603.35	$2,920.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,302.12	Professional		$32.34	$32.34	$3,302.12
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 $2,114.85 / $3,222.60 / $5,088.33	Professional		$2,114.85	$3,222.60	$5,088.33