Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,671.65 / $5,549.00	Facility		$1,129.00	$2,671.65	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.50 / $1,753.87 / $2,671.65	Professional		$1,462.50	$1,753.87	$2,671.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,531.61 / $24,666.56 / $49,394.78	Facility		$11,531.61	$24,666.56	$49,394.78
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 $1,490.72 / $2,176.59 / $2,946.96	Professional		$1,490.72	$2,176.59	$2,946.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.09 / $2,314.06 / $5,395.45	Professional		$1,500.09	$2,314.06	$5,395.45
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 $1,589.95 / $1,823.20 / $2,049.80	Professional		$1,589.95	$1,823.20	$2,049.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,317.85	Professional		$32.34	$32.34	$2,317.85
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,751.00 / $6,625.00	Facility		$930.00	$3,751.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,469.21 / $1,994.79 / $3,534.92	Professional		$1,469.21	$1,994.79	$3,534.92