Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,636.00 / $6,886.45	Facility		$1,017.00	$3,636.00	$6,886.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,371.17 / $3,078.24 / $5,538.24	Professional		$2,371.17	$3,078.24	$5,538.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,345.59 / $39,241.92 / $78,581.94	Facility		$18,345.59	$39,241.92	$78,581.94
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 $2,742.22 / $4,322.04 / $6,275.45	Professional		$2,742.22	$4,322.04	$6,275.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,174.01 / $4,961.20 / $13,032.49	Professional		$3,174.01	$4,961.20	$13,032.49
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 $3,056.46 / $3,745.77 / $4,335.84	Professional		$3,056.46	$3,745.77	$4,335.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,902.83	Professional		$32.34	$32.34	$4,902.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $7,842.00 / $21,651.00	Facility		$2,421.00	$7,842.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,766.06 / $3,904.39 / $6,661.97	Professional		$2,766.06	$3,904.39	$6,661.97