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 $2,397.30 / $2,867.12 / $4,575.16	Professional		$2,397.30	$2,867.12	$4,575.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,689.55 / $27,143.44 / $54,354.73	Facility		$12,689.55	$27,143.44	$54,354.73
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 $2,539.21 / $3,557.90 / $5,126.96	Professional		$2,539.21	$3,557.90	$5,126.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,428.11 / $3,774.51 / $9,816.44	Professional		$2,428.11	$3,774.51	$9,816.44
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 $2,533.94 / $2,973.85 / $3,335.80	Professional		$2,533.94	$2,973.85	$3,335.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,772.02	Professional		$32.34	$32.34	$3,772.02
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 $2,299.16 / $3,322.65 / $5,822.93	Professional		$2,299.16	$3,322.65	$5,822.93