Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,636.00 / $5,549.00	Facility		$1,017.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,731.55 / $2,110.82 / $3,915.14	Professional		$1,731.55	$2,110.82	$3,915.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.09 / $27,555.28 / $55,179.44	Facility		$12,882.09	$27,555.28	$55,179.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,518.26 / $3,482.18 / $4,244.07	Professional		$2,518.26	$3,482.18	$4,244.07
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 $2,114.98 / $3,234.89 / $4,463.45	Professional		$2,114.98	$3,234.89	$4,463.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,388.73 / $3,639.26 / $8,698.18	Professional		$2,388.73	$3,639.26	$8,698.18
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 $2,385.19 / $2,628.35 / $2,922.70	Professional		$2,385.19	$2,628.35	$2,922.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,304.90	Professional		$32.34	$32.34	$3,304.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,039.81 / $2,912.96 / $4,658.62	Professional		$2,039.81	$2,912.96	$4,658.62