Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,335.00 / $6,727.25	Facility		$1,017.00	$3,335.00	$6,727.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,652.75 / $2,159.55 / $4,010.46	Professional		$1,652.75	$2,159.55	$4,010.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.91 / $25,042.54 / $54,620.94	Facility		$8,139.91	$25,042.54	$54,620.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,786.97 / $3,853.73 / $4,522.76	Professional		$2,786.97	$3,853.73	$4,522.76
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 $1,849.28 / $3,184.79 / $4,421.01	Professional		$1,849.28	$3,184.79	$4,421.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,246.19 / $3,619.68 / $7,674.97	Professional		$2,246.19	$3,619.68	$7,674.97
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 $2,335.23 / $2,800.94 / $3,234.56	Professional		$2,335.23	$2,800.94	$3,234.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,657.54	Professional		$32.34	$32.34	$3,657.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,945.00 / $11,831.32	Facility		$2,100.00	$5,945.00	$11,831.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,799.35 / $2,566.28 / $4,829.47	Professional		$1,799.35	$2,566.28	$4,829.47