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 / $5,789.85	Facility		$1,159.00	$3,636.00	$5,789.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,222.17 / $2,272.67 / $4,603.10	Professional		$2,222.17	$2,272.67	$4,603.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,819.03 / $31,698.48 / $63,476.20	Facility		$14,819.03	$31,698.48	$63,476.20
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 $2,489.38 / $3,594.56 / $5,346.25	Professional		$2,489.38	$3,594.56	$5,346.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,664.78 / $4,187.00 / $10,250.20	Professional		$2,664.78	$4,187.00	$10,250.20
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 $2,986.04 / $3,149.29 / $3,461.43	Professional		$2,986.04	$3,149.29	$3,461.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,993.96	Professional		$32.34	$32.34	$3,993.96
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,525.64 / $3,551.90 / $5,755.99	Professional		$2,525.64	$3,551.90	$5,755.99