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 / $7,407.00	Facility		$1,159.00	$3,636.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,811.84 / $3,599.98 / $6,389.99	Professional		$2,811.84	$3,599.98	$6,389.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,455.07 / $45,893.20 / $91,901.13	Facility		$21,455.07	$45,893.20	$91,901.13
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 $3,240.63 / $5,223.01 / $7,098.95	Professional		$3,240.63	$5,223.01	$7,098.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,617.59 / $5,523.59 / $16,794.52	Professional		$3,617.59	$5,523.59	$16,794.52
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 $3,602.44 / $4,351.92 / $5,029.57	Professional		$3,602.44	$4,351.92	$5,029.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,803.35	Professional		$32.34	$32.34	$5,803.35
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 $3,441.87 / $4,927.33 / $8,822.06	Professional		$3,441.87	$4,927.33	$8,822.06