Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,200.00 / $5,914.74	Facility		$1,159.00	$4,200.00	$5,914.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,475.69 / $2,908.75 / $5,179.85	Professional		$2,475.69	$2,908.75	$5,179.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,626.38 / $31,883.12 / $63,845.94	Facility		$14,626.38	$31,883.12	$63,845.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $3,070.20	Facility		$400.00	$785.00	$3,070.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,628.56 / $3,949.32 / $5,772.08	Professional		$2,628.56	$3,949.32	$5,772.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,972.21 / $4,593.42 / $14,473.92	Professional		$2,972.21	$4,593.42	$14,473.92
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 $3,043.86 / $3,512.61 / $3,949.32	Professional		$3,043.86	$3,512.61	$3,949.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,465.77	Professional		$32.34	$32.34	$4,465.77
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 $2,635.90 / $3,633.54 / $6,302.71	Professional		$2,635.90	$3,633.54	$6,302.71