Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,636.00 / $5,549.00	Facility		$1,159.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,118.96 / $2,160.69 / $4,000.38	Professional		$2,118.96	$2,160.69	$4,000.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,497.73 / $33,150.24 / $66,383.35	Facility		$15,497.73	$33,150.24	$66,383.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,121.88 / $2,988.53 / $4,305.20	Professional		$2,121.88	$2,988.53	$4,305.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,244.02 / $3,488.43 / $9,842.73	Professional		$2,244.02	$3,488.43	$9,842.73
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 $2,475.88 / $2,652.03 / $2,877.85	Professional		$2,475.88	$2,652.03	$2,877.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,320.60	Professional		$32.34	$32.34	$3,320.60
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,200.02 / $3,175.94 / $4,755.27	Professional		$2,200.02	$3,175.94	$4,755.27