Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,532.21 / $7,347.79	Facility		$1,129.00	$3,532.21	$7,347.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,170.66 / $2,596.82 / $4,155.54	Professional		$2,170.66	$2,596.82	$4,155.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,493.20 / $24,584.40 / $49,230.26	Facility		$11,493.20	$24,584.40	$49,230.26
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 $2,285.55 / $3,265.63 / $5,507.84	Professional		$2,285.55	$3,265.63	$5,507.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,181.66 / $3,567.42 / $8,539.29	Professional		$2,181.66	$3,567.42	$8,539.29
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 $2,262.73 / $2,701.10 / $3,031.15	Professional		$2,262.73	$2,701.10	$3,031.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,427.53	Professional		$32.34	$32.34	$3,427.53
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 $2,187.75 / $3,246.96 / $5,263.73	Professional		$2,187.75	$3,246.96	$5,263.73