Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,272.73 / $9,691.00	Facility		$1,159.00	$2,272.73	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.33 / $1,195.15 / $2,272.73	Professional		$988.33	$1,195.15	$2,272.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,627.80 / $14,177.12 / $28,389.68	Facility		$6,627.80	$14,177.12	$28,389.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,527.09 / $1,820.79 / $2,172.84	Professional		$1,527.09	$1,820.79	$2,172.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $11,310.00 / $14,224.00	Facility		$875.00	$11,310.00	$14,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,186.96 / $1,840.50 / $2,590.34	Professional		$1,186.96	$1,840.50	$2,590.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,334.34 / $2,122.82 / $5,226.88	Professional		$1,334.34	$2,122.82	$5,226.88
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 $1,400.40 / $1,576.95 / $1,772.34	Professional		$1,400.40	$1,576.95	$1,772.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,045.01	Professional		$32.34	$32.34	$2,045.01
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 $1,146.04 / $1,569.70 / $2,764.82	Professional		$1,146.04	$1,569.70	$2,764.82