Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,536.54 / $7,356.80	Facility		$1,129.00	$3,536.54	$7,356.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,176.44 / $2,603.06 / $4,160.64	Professional		$2,176.44	$2,603.06	$4,160.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,520.84 / $24,643.52 / $49,348.64	Facility		$11,520.84	$24,643.52	$49,348.64
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 $2,309.15 / $3,215.62 / $4,455.28	Professional		$2,309.15	$3,215.62	$4,455.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,184.34 / $3,562.52 / $8,904.95	Professional		$2,184.34	$3,562.52	$8,904.95
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 $2,315.64 / $2,704.42 / $3,033.65	Professional		$2,315.64	$2,704.42	$3,033.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,430.36	Professional		$32.34	$32.34	$3,430.36
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 $2,123.11 / $3,232.49 / $5,817.30	Professional		$2,123.11	$3,232.49	$5,817.30