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 / $6,213.29	Facility		$1,129.00	$3,270.00	$6,213.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,836.17 / $2,196.90 / $3,438.83	Professional		$1,836.17	$2,196.90	$3,438.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,723.25 / $20,798.40 / $41,648.79	Facility		$9,723.25	$20,798.40	$41,648.79
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 $1,933.99 / $2,680.44 / $4,456.38	Professional		$1,933.99	$2,680.44	$4,456.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,871.49 / $2,898.98 / $7,249.92	Professional		$1,871.49	$2,898.98	$7,249.92
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 $1,916.01 / $2,284.05 / $2,563.07	Professional		$1,916.01	$2,284.05	$2,563.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,898.24	Professional		$32.34	$32.34	$2,898.24
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 $1,940.93 / $2,744.42 / $4,942.93	Professional		$1,940.93	$2,744.42	$4,942.93