Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,452.04 / $7,181.01	Facility		$1,129.00	$3,452.04	$7,181.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,125.48 / $2,542.44 / $4,061.22	Professional		$2,125.48	$2,542.44	$4,061.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,252.57 / $24,069.68 / $48,199.53	Facility		$11,252.57	$24,069.68	$48,199.53
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 $2,253.96 / $3,082.44 / $4,455.24	Professional		$2,253.96	$3,082.44	$4,455.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,152.83 / $3,248.98 / $8,451.83	Professional		$2,152.83	$3,248.98	$8,451.83
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 $2,261.08 / $2,639.79 / $2,961.01	Professional		$2,261.08	$2,639.79	$2,961.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,348.22	Professional		$32.34	$32.34	$3,348.22
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 $2,083.75 / $3,080.71 / $5,516.47	Professional		$2,083.75	$3,080.71	$5,516.47