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 / $5,549.00	Facility		$1,159.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,691.16 / $2,168.06 / $3,859.23	Professional		$1,691.16	$2,168.06	$3,859.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,921.17 / $27,638.88 / $55,346.85	Facility		$12,921.17	$27,638.88	$55,346.85
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 $2,131.58 / $3,150.58 / $4,178.31	Professional		$2,131.58	$3,150.58	$4,178.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,196.82 / $3,416.79 / $10,096.60	Professional		$2,196.82	$3,416.79	$10,096.60
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 $2,161.15 / $2,637.58 / $3,051.57	Professional		$2,161.15	$2,637.58	$3,051.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,521.04	Professional		$32.34	$32.34	$3,521.04
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 $1,942.41 / $2,815.30 / $4,701.64	Professional		$1,942.41	$2,815.30	$4,701.64