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 $1,826.41 / $2,171.75 / $4,062.01	Professional		$1,826.41	$2,171.75	$4,062.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,253.92 / $28,350.64 / $56,772.15	Facility		$13,253.92	$28,350.64	$56,772.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,561.92 / $3,542.55 / $4,380.31	Professional		$2,561.92	$3,542.55	$4,380.31
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 $2,219.48 / $3,087.73 / $4,560.31	Professional		$2,219.48	$3,087.73	$4,560.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,483.17 / $3,596.64 / $9,145.49	Professional		$2,483.17	$3,596.64	$9,145.49
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 $2,534.17 / $2,712.72 / $2,973.37	Professional		$2,534.17	$2,712.72	$2,973.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,362.20	Professional		$32.34	$32.34	$3,362.20
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 $2,065.19 / $2,918.20 / $4,851.91	Professional		$2,065.19	$2,918.20	$4,851.91