Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $5,319.15 / $9,608.23	Facility		$1,159.00	$5,319.15	$9,608.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,589.85 / $5,319.15 / $9,608.23	Professional		$4,589.85	$5,319.15	$9,608.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,746.84 / $58,303.76 / $116,753.27	Facility		$26,746.84	$58,303.76	$116,753.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $5,609.84	Facility		$400.00	$785.00	$5,609.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,320.77 / $7,185.33 / $10,640.02	Professional		$2,320.77	$7,185.33	$10,640.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,422.30 / $8,131.73 / $21,785.30	Professional		$4,422.30	$8,131.73	$21,785.30
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 $5,461.27 / $6,406.82 / $7,186.24	Professional		$5,461.27	$6,406.82	$7,186.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $8,125.98	Professional		$32.34	$32.34	$8,125.98
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 $4,621.46 / $6,805.71 / $11,637.04	Professional		$4,621.46	$6,805.71	$11,637.04