Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $7,380.00 / $12,665.90	Facility		$3,600.00	$7,380.00	$12,665.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $4,275.00	Professional		$3,600.00	$3,600.00	$4,275.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,861.16 / $5,597.55 / $56,565.66	Facility		$1,861.16	$5,597.55	$56,565.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Facility		$3,825.00	$3,825.00	$3,825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Professional		$3,825.00	$3,825.00	$3,825.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $963.42 / $1,567.62 / $2,664.95	Professional		$963.42	$1,567.62	$2,664.95
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 $2,037.91 / $2,037.91 / $2,037.91	Professional		$2,037.91	$2,037.91	$2,037.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $4,111.28	Professional		$3,750.00	$3,750.00	$4,111.28