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 / $6,665.07	Facility		$1,129.00	$3,270.00	$6,665.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,968.83 / $2,355.14 / $3,769.44	Professional		$1,968.83	$2,355.14	$3,769.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,423.60 / $22,296.48 / $44,648.70	Facility		$10,423.60	$22,296.48	$44,648.70
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 $2,080.37 / $2,961.39 / $4,674.24	Professional		$2,080.37	$2,961.39	$4,674.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,007.81 / $3,109.79 / $8,572.54	Professional		$2,007.81	$3,109.79	$8,572.54
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 $2,054.21 / $2,450.14 / $2,749.36	Professional		$2,054.21	$2,450.14	$2,749.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,108.89	Professional		$32.34	$32.34	$3,108.89
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 $1,983.12 / $2,937.54 / $4,771.39	Professional		$1,983.12	$2,937.54	$4,771.39