Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,755.64 / $8,602.87	Facility		$1,159.00	$4,755.64	$8,602.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,110.35 / $4,755.64 / $8,602.87	Professional		$4,110.35	$4,755.64	$8,602.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23,913.35 / $52,127.20 / $104,384.71	Facility		$23,913.35	$52,127.20	$104,384.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $5,017.04	Facility		$400.00	$785.00	$5,017.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,397.42 / $6,427.22 / $9,659.12	Professional		$2,397.42	$6,427.22	$9,659.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,091.15 / $7,272.54 / $19,330.59	Professional		$4,091.15	$7,272.54	$19,330.59
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 $4,887.60 / $5,729.88 / $6,427.23	Professional		$4,887.60	$5,729.88	$6,427.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $7,267.71	Professional		$32.34	$32.34	$7,267.71
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,187.50 / $5,845.16 / $10,549.98	Professional		$4,187.50	$5,845.16	$10,549.98