Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,126.22 / $9,691.00	Facility		$1,159.00	$4,126.22	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,789.02 / $2,063.12 / $4,126.22	Professional		$1,789.02	$2,063.12	$4,126.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,441.22 / $24,473.20 / $49,007.58	Facility		$11,441.22	$24,473.20	$49,007.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,625.69 / $3,130.68 / $3,793.97	Professional		$2,625.69	$3,130.68	$3,793.97
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 $2,345.71 / $3,177.13 / $4,537.18	Professional		$2,345.71	$3,177.13	$4,537.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,329.89 / $3,633.40 / $10,934.02	Professional		$2,329.89	$3,633.40	$10,934.02
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 $2,527.53 / $2,753.50 / $3,047.37	Professional		$2,527.53	$2,753.50	$3,047.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,516.20	Professional		$32.34	$32.34	$3,516.20
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 $2,204.69 / $3,132.42 / $4,908.82	Professional		$2,204.69	$3,132.42	$4,908.82