Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,270.00 / $5,549.00	Facility		$1,159.00	$3,270.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,920.03 / $2,296.80 / $3,672.64	Professional		$1,920.03	$2,296.80	$3,672.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,165.35 / $21,744.08 / $43,542.52	Facility		$10,165.35	$21,744.08	$43,542.52
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 $2,038.32 / $2,866.85 / $4,049.37	Professional		$2,038.32	$2,866.85	$4,049.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.43 / $3,121.74 / $7,822.01	Professional		$1,950.43	$3,121.74	$7,822.01
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 $2,057.59 / $2,387.21 / $2,677.56	Professional		$2,057.59	$2,387.21	$2,677.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,027.70	Professional		$32.34	$32.34	$3,027.70
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 $1,935.85 / $2,869.99 / $4,657.66	Professional		$1,935.85	$2,869.99	$4,657.66