Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,276.65 / $5,549.00	Facility		$1,159.00	$3,276.65	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,540.26 / $1,659.72 / $3,276.65	Professional		$1,540.26	$1,659.72	$3,276.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,466.84 / $24,528.00 / $49,117.32	Facility		$11,466.84	$24,528.00	$49,117.32
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 $1,847.72 / $2,493.54 / $3,667.59	Professional		$1,847.72	$2,493.54	$3,667.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,852.50 / $2,904.52 / $7,348.99	Professional		$1,852.50	$2,904.52	$7,348.99
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 $2,052.41 / $2,189.32 / $2,401.19	Professional		$2,052.41	$2,189.32	$2,401.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,770.61	Professional		$32.34	$32.34	$2,770.61
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 $1,813.14 / $2,641.30 / $4,545.78	Professional		$1,813.14	$2,641.30	$4,545.78