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 $1,772.03 / $2,151.34 / $3,989.07	Professional		$1,772.03	$2,151.34	$3,989.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,129.38 / $28,084.24 / $56,238.69	Facility		$13,129.38	$28,084.24	$56,238.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,740.80 / $3,768.78 / $3,768.78	Professional		$2,740.80	$3,768.78	$3,768.78
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 $2,020.48 / $3,082.69 / $4,404.07	Professional		$2,020.48	$3,082.69	$4,404.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,397.65 / $3,506.68 / $7,865.12	Professional		$2,397.65	$3,506.68	$7,865.12
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 $2,465.59 / $2,681.58 / $2,968.52	Professional		$2,465.59	$2,681.58	$2,968.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,356.72	Professional		$32.34	$32.34	$3,356.72
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 $1,964.45 / $2,738.44 / $4,746.35	Professional		$1,964.45	$2,738.44	$4,746.35