Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,636.00 / $7,407.00	Facility		$1,129.00	$3,636.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,409.34 / $2,881.47 / $4,600.06	Professional		$2,409.34	$2,881.47	$4,600.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,753.06 / $27,279.28 / $54,626.75	Facility		$12,753.06	$27,279.28	$54,626.75
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 $2,553.03 / $3,573.01 / $5,148.72	Professional		$2,553.03	$3,573.01	$5,148.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,440.64 / $3,795.05 / $11,244.03	Professional		$2,440.64	$3,795.05	$11,244.03
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 $2,550.89 / $2,990.04 / $3,353.84	Professional		$2,550.89	$2,990.04	$3,353.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,792.42	Professional		$32.34	$32.34	$3,792.42
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 $2,329.90 / $3,411.10 / $5,853.32	Professional		$2,329.90	$3,411.10	$5,853.32