Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,270.00 / $5,580.00	Facility		$1,159.00	$3,270.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,204.07 / $2,723.18 / $5,028.84	Professional		$2,204.07	$2,723.18	$5,028.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,640.04 / $35,593.68 / $71,276.34	Facility		$16,640.04	$35,593.68	$71,276.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,261.61 / $4,510.06 / $5,493.83	Professional		$3,261.61	$4,510.06	$5,493.83
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 $2,569.88 / $3,853.33 / $5,532.55	Professional		$2,569.88	$3,853.33	$5,532.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,057.46 / $4,475.35 / $8,770.62	Professional		$3,057.46	$4,475.35	$8,770.62
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 $3,111.76 / $3,402.32 / $3,785.43	Professional		$3,111.76	$3,402.32	$3,785.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,280.45	Professional		$32.34	$32.34	$4,280.45
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 $2,375.67 / $3,452.48 / $5,966.38	Professional		$2,375.67	$3,452.48	$5,966.38