Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,304.95 / $6,875.02	Facility		$1,129.00	$3,304.95	$6,875.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,031.61 / $2,430.87 / $3,966.87	Professional		$2,031.61	$2,430.87	$3,966.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,758.74 / $23,013.36 / $46,084.25	Facility		$10,758.74	$23,013.36	$46,084.25
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 $2,138.48 / $2,972.87 / $4,978.06	Professional		$2,138.48	$2,972.87	$4,978.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,070.30 / $3,207.75 / $8,238.39	Professional		$2,070.30	$3,207.75	$8,238.39
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 $2,117.61 / $2,527.32 / $2,836.34	Professional		$2,117.61	$2,527.32	$2,836.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,207.25	Professional		$32.34	$32.34	$3,207.25
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 $2,147.98 / $3,128.13 / $5,317.82	Professional		$2,147.98	$3,128.13	$5,317.82