Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,548.09 / $8,116.82	Facility		$1,159.00	$4,548.09	$8,116.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,555.38 / $4,548.09 / $8,116.82	Professional		$3,555.38	$4,548.09	$8,116.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27,105.57 / $57,979.84 / $116,104.62	Facility		$27,105.57	$57,979.84	$116,104.62
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 $3,741.03 / $6,635.72 / $8,578.53	Professional		$3,741.03	$6,635.72	$8,578.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,474.81 / $7,025.07 / $16,928.37	Professional		$4,474.81	$7,025.07	$16,928.37
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 $4,624.52 / $5,534.91 / $6,389.96	Professional		$4,624.52	$5,534.91	$6,389.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $7,373.03	Professional		$32.34	$32.34	$7,373.03
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 $4,117.71 / $6,406.96 / $9,925.57	Professional		$4,117.71	$6,406.96	$9,925.57