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 / $6,708.84	Facility		$1,129.00	$3,270.00	$6,708.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,982.24 / $2,371.59 / $3,753.27	Professional		$1,982.24	$2,371.59	$3,753.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,496.38 / $22,452.16 / $44,960.45	Facility		$10,496.38	$22,452.16	$44,960.45
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 $2,094.03 / $2,910.28 / $4,044.97	Professional		$2,094.03	$2,910.28	$4,044.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,991.94 / $3,257.26 / $7,003.24	Professional		$1,991.94	$3,257.26	$7,003.24
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 $2,067.29 / $2,466.21 / $2,767.61	Professional		$2,067.29	$2,466.21	$2,767.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,129.53	Professional		$32.34	$32.34	$3,129.53
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,800.00 / $6,650.00	Facility		$785.00	$2,800.00	$6,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,996.84 / $2,837.64 / $4,804.39	Professional		$1,996.84	$2,837.64	$4,804.39