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 / $6,284.67	Facility		$1,159.00	$3,636.00	$6,284.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,189.69 / $2,808.12 / $5,005.95	Professional		$2,189.69	$2,808.12	$5,005.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,735.78 / $35,798.48 / $71,686.45	Facility		$16,735.78	$35,798.48	$71,686.45
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 $2,243.48 / $3,990.73 / $5,361.25	Professional		$2,243.48	$3,990.73	$5,361.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,715.61 / $4,338.79 / $7,996.61	Professional		$2,715.61	$4,338.79	$7,996.61
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 $2,789.61 / $3,418.44 / $3,957.14	Professional		$2,789.61	$3,418.44	$3,957.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,565.93	Professional		$32.34	$32.34	$4,565.93
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 $2,415.46 / $3,454.46 / $6,128.06	Professional		$2,415.46	$3,454.46	$6,128.06