Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,636.00 / $7,407.00	Facility		$1,129.00	$3,636.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,258.46 / $2,731.21 / $4,281.27	Professional		$2,258.46	$2,731.21	$4,281.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,088.05 / $25,856.80 / $51,778.24	Facility		$12,088.05	$25,856.80	$51,778.24
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 $2,403.61 / $3,341.13 / $5,519.42	Professional		$2,403.61	$3,341.13	$5,519.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,294.36 / $3,751.71 / $8,967.93	Professional		$2,294.36	$3,751.71	$8,967.93
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 $2,378.65 / $2,840.63 / $3,187.73	Professional		$2,378.65	$2,840.63	$3,187.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,604.59	Professional		$32.34	$32.34	$3,604.59
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 $2,301.07 / $3,405.82 / $5,536.37	Professional		$2,301.07	$3,405.82	$5,536.37