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 / $6,532.88	Facility		$1,159.00	$4,200.00	$6,532.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,757.47 / $3,150.96 / $5,848.95	Professional		$2,757.47	$3,150.96	$5,848.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,844.30 / $34,538.00 / $69,162.34	Facility		$15,844.30	$34,538.00	$69,162.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $3,447.56	Facility		$400.00	$785.00	$3,447.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,740.05 / $4,362.22 / $6,475.17	Professional		$1,740.05	$4,362.22	$6,475.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,891.49 / $5,001.38 / $12,655.97	Professional		$2,891.49	$5,001.38	$12,655.97
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 $3,401.75 / $3,940.48 / $4,430.39	Professional		$3,401.75	$3,940.48	$4,430.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,009.75	Professional		$32.34	$32.34	$5,009.75
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 $2,794.12 / $4,035.21 / $7,079.95	Professional		$2,794.12	$4,035.21	$7,079.95