Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,200.83 / $7,441.66	Facility		$1,159.00	$4,200.83	$7,441.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,398.18 / $4,197.21 / $7,369.17	Professional		$3,398.18	$4,197.21	$7,369.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,123.45 / $46,045.68 / $92,206.47	Facility		$21,123.45	$46,045.68	$92,206.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $4,429.10	Facility		$400.00	$785.00	$4,429.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,453.86 / $5,607.92 / $8,183.35	Professional		$3,453.86	$5,607.92	$8,183.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,216.49 / $6,558.04 / $14,718.83	Professional		$4,216.49	$6,558.04	$14,718.83
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 $4,396.31 / $5,065.92 / $5,695.55	Professional		$4,396.31	$5,065.92	$5,695.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $6,440.35	Professional		$32.34	$32.34	$6,440.35
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 $3,699.90 / $4,924.50 / $8,927.82	Professional		$3,699.90	$4,924.50	$8,927.82