Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,270.00 / $6,281.23	Facility		$1,129.00	$3,270.00	$6,281.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,223.03 / $2,559.23 / $5,324.84	Professional		$2,223.03	$2,559.23	$5,324.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $24,931.70 / $54,379.19	Facility		$2,517.01	$24,931.70	$54,379.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,259.24 / $3,886.08 / $4,707.59	Professional		$3,259.24	$3,886.08	$4,707.59
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 $2,426.21 / $3,535.65 / $5,179.35	Professional		$2,426.21	$3,535.65	$5,179.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,732.38 / $4,364.63 / $14,280.39	Professional		$2,732.38	$4,364.63	$14,280.39
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 $3,146.95 / $3,416.57 / $3,782.68	Professional		$3,146.95	$3,416.57	$3,782.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,364.63	Professional		$32.34	$32.34	$4,364.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $2,465.00 / $4,780.00	Facility		$1,250.00	$2,465.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,159.33 / $3,407.89 / $6,041.80	Professional		$2,159.33	$3,407.89	$6,041.80