Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,110.38 / $5,622.49	Facility		$1,129.00	$3,110.38	$5,622.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,661.32 / $1,987.81 / $3,140.39	Professional		$1,661.32	$1,987.81	$3,140.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,797.78 / $18,818.80 / $37,684.64	Facility		$8,797.78	$18,818.80	$37,684.64
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 $1,753.11 / $2,424.25 / $4,217.35	Professional		$1,753.11	$2,424.25	$4,217.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,693.25 / $2,623.34 / $6,579.86	Professional		$1,693.25	$2,623.34	$6,579.86
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 $1,735.31 / $2,066.87 / $2,319.48	Professional		$1,735.31	$2,066.87	$2,319.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,622.80	Professional		$32.34	$32.34	$2,622.80
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 $1,672.03 / $2,484.40 / $4,022.90	Professional		$1,672.03	$2,484.40	$4,022.90