Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,999.92 / $7,632.25	Facility		$1,129.00	$3,999.92	$7,632.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,335.96 / $3,999.92 / $6,261.84	Professional		$3,335.96	$3,999.92	$6,261.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,703.21 / $37,867.83 / $75,830.34	Facility		$17,703.21	$37,867.83	$75,830.34
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 $3,544.69 / $5,000.93 / $7,651.83	Professional		$3,544.69	$5,000.93	$7,651.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,353.08 / $5,478.11 / $13,007.53	Professional		$3,353.08	$5,478.11	$13,007.53
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 $3,541.86 / $4,151.43 / $4,656.17	Professional		$3,541.86	$4,151.43	$4,656.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,871.07	Professional		$32.34	$32.34	$4,871.07
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 $3,562.51 / $4,784.57 / $8,132.64	Professional		$3,562.51	$4,784.57	$8,132.64