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 / $5,940.46	Facility		$1,159.00	$3,636.00	$5,940.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,069.71 / $2,653.50 / $4,727.53	Professional		$2,069.71	$2,653.50	$4,727.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,814.21 / $33,827.19 / $67,738.96	Facility		$15,814.21	$33,827.19	$67,738.96
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 $2,649.25 / $3,882.69 / $5,167.85	Professional		$2,649.25	$3,882.69	$5,167.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,734.11 / $4,314.10 / $9,727.61	Professional		$2,734.11	$4,314.10	$9,727.61
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 $2,646.20 / $3,231.22 / $3,738.89	Professional		$2,646.20	$3,231.22	$3,738.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,314.10	Professional		$32.34	$32.34	$4,314.10
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 $2,577.80 / $3,794.28 / $6,461.85	Professional		$2,577.80	$3,794.28	$6,461.85