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 / $6,010.38	Facility		$1,129.00	$3,270.00	$6,010.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,774.97 / $2,123.34 / $3,352.41	Professional		$1,774.97	$2,123.34	$3,352.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,397.64 / $20,101.91 / $40,254.08	Facility		$9,397.64	$20,101.91	$40,254.08
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 $1,869.54 / $2,592.08 / $4,321.28	Professional		$1,869.54	$2,592.08	$4,321.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,810.30 / $2,804.32 / $7,020.74	Professional		$1,810.30	$2,804.32	$7,020.74
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 $1,853.87 / $2,209.46 / $2,479.46	Professional		$1,853.87	$2,209.46	$2,479.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,803.70	Professional		$32.34	$32.34	$2,803.70
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 $1,877.36 / $2,658.13 / $4,300.77	Professional		$1,877.36	$2,658.13	$4,300.77