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 / $5,549.00	Facility		$1,129.00	$3,221.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.91 / $1,763.30 / $3,262.69	Professional		$1,461.91	$1,763.30	$3,262.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,761.21 / $23,018.64 / $46,094.82	Facility		$10,761.21	$23,018.64	$46,094.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,098.13 / $2,901.23 / $3,551.11	Professional		$2,098.13	$2,901.23	$3,551.11
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 $1,727.58 / $2,511.31 / $3,707.20	Professional		$1,727.58	$2,511.31	$3,707.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,966.81 / $2,875.87 / $7,225.85	Professional		$1,966.81	$2,875.87	$7,225.85
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 $2,026.53 / $2,199.19 / $2,435.10	Professional		$2,026.53	$2,199.19	$2,435.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,753.53	Professional		$32.34	$32.34	$2,753.53
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 $1,657.01 / $2,211.30 / $3,877.47	Professional		$1,657.01	$2,211.30	$3,877.47