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 / $6,424.77	Facility		$1,159.00	$3,636.00	$6,424.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,239.04 / $2,871.63 / $5,389.00	Professional		$2,239.04	$2,871.63	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,114.27 / $36,608.08 / $73,307.67	Facility		$17,114.27	$36,608.08	$73,307.67
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 $2,772.16 / $4,201.18 / $5,765.75	Professional		$2,772.16	$4,201.18	$5,765.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,957.01 / $4,667.97 / $13,318.04	Professional		$2,957.01	$4,667.97	$13,318.04
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 $2,850.30 / $3,494.65 / $4,045.57	Professional		$2,850.30	$3,494.65	$4,045.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,667.97	Professional		$32.34	$32.34	$4,667.97
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 $2,743.36 / $4,092.27 / $7,005.67	Professional		$2,743.36	$4,092.27	$7,005.67