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 $1,633.08 / $2,093.42 / $3,739.77	Professional		$1,633.08	$2,093.42	$3,739.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,476.34 / $26,687.36 / $53,441.43	Facility		$12,476.34	$26,687.36	$53,441.43
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 $1,984.46 / $3,064.68 / $4,200.00	Professional		$1,984.46	$3,064.68	$4,200.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,158.27 / $3,405.20 / $7,747.00	Professional		$2,158.27	$3,405.20	$7,747.00
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 $2,090.34 / $2,550.67 / $2,951.17	Professional		$2,090.34	$2,550.67	$2,951.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,405.20	Professional		$32.34	$32.34	$3,405.20
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 $1,980.60 / $2,927.44 / $4,543.38	Professional		$1,980.60	$2,927.44	$4,543.38