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 $2,249.85 / $2,698.00 / $4,140.93	Professional		$2,249.85	$2,698.00	$4,140.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,739.25 / $37,944.96 / $75,984.78	Facility		$17,739.25	$37,944.96	$75,984.78
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 $1,687.00 / $3,270.14 / $4,451.62	Professional		$1,687.00	$3,270.14	$4,451.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,984.85 / $3,403.91 / $8,420.34	Professional		$1,984.85	$3,403.91	$8,420.34
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 $2,418.73 / $2,800.68 / $3,149.03	Professional		$2,418.73	$2,800.68	$3,149.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,560.83	Professional		$32.34	$32.34	$3,560.83
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 $1,936.94 / $2,977.45 / $5,003.20	Professional		$1,936.94	$2,977.45	$5,003.20