Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,828.14 / $9,691.00	Facility		$1,159.00	$3,828.14	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,662.71 / $1,916.55 / $3,828.14	Professional		$1,662.71	$1,916.55	$3,828.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,628.40 / $22,734.56 / $45,525.95	Facility		$10,628.40	$22,734.56	$45,525.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,439.00 / $2,908.09 / $3,523.87	Professional		$2,439.00	$2,908.09	$3,523.87
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 $2,183.69 / $2,950.94 / $4,215.53	Professional		$2,183.69	$2,950.94	$4,215.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,164.02 / $3,371.35 / $8,980.20	Professional		$2,164.02	$3,371.35	$8,980.20
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 $2,349.30 / $2,557.48 / $2,830.71	Professional		$2,349.30	$2,557.48	$2,830.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,266.21	Professional		$32.34	$32.34	$3,266.21
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 $1,976.92 / $2,913.83 / $4,654.43	Professional		$1,976.92	$2,913.83	$4,654.43