Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,352.52 / $9,691.00	Facility		$1,159.00	$3,352.52	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.48 / $1,680.92 / $3,352.52	Professional		$1,462.48	$1,680.92	$3,352.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,321.68 / $19,939.43 / $39,928.72	Facility		$9,321.68	$19,939.43	$39,928.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,936.04 / $2,556.00 / $3,096.02	Professional		$1,936.04	$2,556.00	$3,096.02
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 $1,918.56 / $2,592.65 / $3,697.94	Professional		$1,918.56	$2,592.65	$3,697.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,901.27 / $2,966.16 / $10,284.04	Professional		$1,901.27	$2,966.16	$10,284.04
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 $2,071.37 / $2,246.96 / $2,487.98	Professional		$2,071.37	$2,246.96	$2,487.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,870.76	Professional		$32.34	$32.34	$2,870.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,729.89 / $2,554.67 / $4,671.52	Professional		$1,729.89	$2,554.67	$4,671.52