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 $1,646.66 / $1,956.95 / $3,758.52	Professional		$1,646.66	$1,956.95	$3,758.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,943.01 / $25,546.56 / $51,156.98	Facility		$11,943.01	$25,546.56	$51,156.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,307.92 / $3,191.32 / $3,657.60	Professional		$2,307.92	$3,191.32	$3,657.60
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 $1,973.22 / $2,781.60 / $4,127.34	Professional		$1,973.22	$2,781.60	$4,127.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,236.32 / $3,213.53 / $9,047.70	Professional		$2,236.32	$3,213.53	$9,047.70
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 $2,286.14 / $2,443.04 / $2,678.57	Professional		$2,286.14	$2,443.04	$2,678.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,028.85	Professional		$32.34	$32.34	$3,028.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,619.00 / $12,241.00	Facility		$2,100.00	$5,619.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,870.12 / $2,537.92 / $4,368.99	Professional		$1,870.12	$2,537.92	$4,368.99