Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,677.35 / $8,511.38	Facility		$1,148.15	$4,677.35	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,235.94 / $6,456.54	Professional		$2,691.53	$3,235.94	$6,456.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $34,673.69 / $66,069.34	Facility		$12,882.50	$34,673.69	$66,069.34
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 $1,737.80 / $3,981.07 / $6,606.93	Professional		$1,737.80	$3,981.07	$6,606.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,754.40 / $14,125.38	Professional		$2,754.23	$5,754.40	$14,125.38
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 $3,388.44 / $3,981.07 / $4,466.84	Professional		$3,388.44	$3,981.07	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $4,265.80	Professional		$32.36	$33.11	$4,265.80
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 $2,454.71 / $3,630.78 / $6,309.57	Professional		$2,454.71	$3,630.78	$6,309.57