Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,615.03 / $7,407.00	Facility		$1,129.00	$3,615.03	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,220.31 / $2,662.68 / $4,091.20	Professional		$2,220.31	$2,662.68	$4,091.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,507.00 / $37,448.16 / $74,989.94	Facility		$17,507.00	$37,448.16	$74,989.94
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 $1,668.74 / $3,227.77 / $4,400.59	Professional		$1,668.74	$3,227.77	$4,400.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,936.13 / $3,359.86 / $10,645.70	Professional		$1,936.13	$3,359.86	$10,645.70
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 $2,387.84 / $2,764.44 / $3,108.22	Professional		$2,387.84	$2,764.44	$3,108.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,514.68	Professional		$32.34	$32.34	$3,514.68
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 $2,033.61 / $2,793.59 / $5,382.68	Professional		$2,033.61	$2,793.59	$5,382.68