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 $2,647.36 / $3,165.89 / $4,948.03	Professional		$2,647.36	$3,165.89	$4,948.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,011.87 / $29,971.92 / $60,018.76	Facility		$14,011.87	$29,971.92	$60,018.76
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 $2,801.46 / $3,961.78 / $5,795.42	Professional		$2,801.46	$3,961.78	$5,795.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,662.96 / $4,290.51 / $12,675.12	Professional		$2,662.96	$4,290.51	$12,675.12
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 $2,778.40 / $3,280.98 / $3,679.99	Professional		$2,778.40	$3,280.98	$3,679.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,161.22	Professional		$32.34	$32.34	$4,161.22
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 $2,672.80 / $3,791.30 / $6,430.76	Professional		$2,672.80	$3,791.30	$6,430.76