Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,270.00 / $6,622.03	Facility		$1,129.00	$3,270.00	$6,622.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,959.10 / $2,343.00 / $3,745.10	Professional		$1,959.10	$2,343.00	$3,745.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,369.86 / $22,181.52 / $44,418.49	Facility		$10,369.86	$22,181.52	$44,418.49
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 $2,078.53 / $2,940.67 / $4,149.47	Professional		$2,078.53	$2,940.67	$4,149.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,986.34 / $3,183.34 / $8,005.71	Professional		$1,986.34	$3,183.34	$8,005.71
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 $2,090.46 / $2,434.32 / $2,730.62	Professional		$2,090.46	$2,434.32	$2,730.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,087.71	Professional		$32.34	$32.34	$3,087.71
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 $1,910.43 / $2,975.50 / $4,758.37	Professional		$1,910.43	$2,975.50	$4,758.37