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 $1,716.60 / $2,068.55 / $3,824.96	Professional		$1,716.60	$2,068.55	$3,824.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,624.10 / $27,003.44 / $54,074.38	Facility		$12,624.10	$27,003.44	$54,074.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,463.48 / $3,406.43 / $4,168.34	Professional		$2,463.48	$3,406.43	$4,168.34
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 $1,941.09 / $2,893.00 / $4,270.14	Professional		$1,941.09	$2,893.00	$4,270.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,227.67 / $3,375.74 / $8,435.59	Professional		$2,227.67	$3,375.74	$8,435.59
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 $2,384.54 / $2,581.44 / $2,859.12	Professional		$2,384.54	$2,581.44	$2,859.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,233.00	Professional		$32.34	$32.34	$3,233.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,945.00 / $11,479.00	Facility		$2,100.00	$5,945.00	$11,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,923.51 / $2,613.32 / $4,547.97	Professional		$1,923.51	$2,613.32	$4,547.97