Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,128.61 / $9,772.37	Facility		$1,148.15	$5,128.61	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,370.32 / $10,232.93	Professional		$4,466.84	$5,370.32	$10,232.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,877.62 / $58,884.37 / $112,201.85	Facility		$21,877.62	$58,884.37	$112,201.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $6,456.54 / $10,964.78	Professional		$2,344.23	$6,456.54	$10,964.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $9,332.54 / $24,547.09	Professional		$4,466.84	$9,332.54	$24,547.09
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 $5,495.41 / $6,456.54 / $7,244.36	Professional		$5,495.41	$6,456.54	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $6,918.31	Professional		$32.36	$33.11	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $6,025.60 / $10,471.29	Professional		$4,073.80	$6,025.60	$10,471.29