Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,883.96 / $5,549.00	Facility		$1,159.00	$3,883.96	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,117.63 / $2,472.30 / $4,433.08	Professional		$2,117.63	$2,472.30	$4,433.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,431.68 / $27,099.04 / $54,265.82	Facility		$12,431.68	$27,099.04	$54,265.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,605.12	Facility		$400.00	$785.00	$2,605.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,100.82 / $3,334.53 / $5,016.68	Professional		$2,100.82	$3,334.53	$5,016.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,437.30 / $3,790.81 / $9,715.21	Professional		$2,437.30	$3,790.81	$9,715.21
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 $2,590.42 / $2,970.08 / $3,339.18	Professional		$2,590.42	$2,970.08	$3,339.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,775.84	Professional		$32.34	$32.34	$3,775.84
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 $2,221.73 / $3,083.39 / $5,453.49	Professional		$2,221.73	$3,083.39	$5,453.49