Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,449.95 / $5,430.00	Facility		$1,159.00	$3,449.95	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,653.09 / $1,936.43 / $3,449.95	Professional		$1,653.09	$1,936.43	$3,449.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,737.12 / $21,225.36 / $42,503.78	Facility		$9,737.12	$21,225.36	$42,503.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,040.31	Facility		$400.00	$785.00	$2,040.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,710.21 / $2,591.04 / $3,913.19	Professional		$1,710.21	$2,591.04	$3,913.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,913.39 / $2,980.94 / $7,582.65	Professional		$1,913.39	$2,980.94	$7,582.65
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 $2,021.45 / $2,333.28 / $2,623.35	Professional		$2,021.45	$2,333.28	$2,623.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,966.40	Professional		$32.34	$32.34	$2,966.40
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,800.00 / $6,291.00	Facility		$785.00	$2,800.00	$6,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,744.45 / $2,445.37 / $4,167.93	Professional		$1,744.45	$2,445.37	$4,167.93