Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,268.05 / $5,549.00	Facility		$1,159.00	$3,268.05	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,444.80 / $1,849.08 / $3,268.05	Professional		$1,444.80	$1,849.08	$3,268.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,020.13 / $23,572.48 / $47,203.89	Facility		$11,020.13	$23,572.48	$47,203.89
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 $1,683.41 / $2,589.66 / $3,351.23	Professional		$1,683.41	$2,589.66	$3,351.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,820.74 / $2,866.48 / $8,635.11	Professional		$1,820.74	$2,866.48	$8,635.11
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 $1,878.96 / $2,258.44 / $2,608.73	Professional		$1,878.96	$2,258.44	$2,608.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,010.08	Professional		$32.34	$32.34	$3,010.08
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 $1,579.35 / $2,462.41 / $4,474.10	Professional		$1,579.35	$2,462.41	$4,474.10