Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,221.00 / $5,580.00	Facility		$1,129.00	$3,221.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,074.96 / $2,480.08 / $4,659.66	Professional		$2,074.96	$2,480.08	$4,659.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,135.66 / $32,375.76 / $64,832.45	Facility		$15,135.66	$32,375.76	$64,832.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,921.37 / $4,039.58 / $4,981.21	Professional		$2,921.37	$4,039.58	$4,981.21
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 $2,505.92 / $3,520.95 / $5,250.20	Professional		$2,505.92	$3,520.95	$5,250.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,823.83 / $4,101.25 / $11,717.10	Professional		$2,823.83	$4,101.25	$11,717.10
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 $2,856.85 / $3,084.86 / $3,390.54	Professional		$2,856.85	$3,084.86	$3,390.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,833.92	Professional		$32.34	$32.34	$3,833.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,383.69 / $3,338.53 / $5,568.63	Professional		$2,383.69	$3,338.53	$5,568.63