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 / $6,171.60	Facility		$1,017.00	$3,636.00	$6,171.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,097.37 / $2,757.93 / $4,913.68	Professional		$2,097.37	$2,757.93	$4,913.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,436.62 / $35,158.56 / $70,405.00	Facility		$16,436.62	$35,158.56	$70,405.00
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 $2,436.36 / $3,824.54 / $5,558.92	Professional		$2,436.36	$3,824.54	$5,558.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,749.15 / $4,389.84 / $12,751.40	Professional		$2,749.15	$4,389.84	$12,751.40
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 $2,747.28 / $3,356.94 / $3,884.31	Professional		$2,747.28	$3,356.94	$3,884.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,392.26	Professional		$32.34	$32.34	$4,392.26
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,800.00 / $7,384.00	Facility		$800.00	$2,800.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,325.67 / $3,336.30 / $5,891.30	Professional		$2,325.67	$3,336.30	$5,891.30