Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $3,221.00 / $9,500.00	Facility		$1,105.00	$3,221.00	$9,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,322.34 / $1,530.73 / $2,476.31	Professional		$1,322.34	$1,530.73	$2,476.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $16,820.31 / $36,687.23	Facility		$4,464.57	$16,820.31	$36,687.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,569.70 / $2,487.67 / $3,109.52	Professional		$1,569.70	$2,487.67	$3,109.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,294.92 / $2,282.71 / $3,342.02	Professional		$1,294.92	$2,282.71	$3,342.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,604.98 / $2,528.12 / $8,799.60	Professional		$1,604.98	$2,528.12	$8,799.60
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 $1,878.03 / $1,888.21 / $2,034.84	Professional		$1,878.03	$1,888.21	$2,034.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $874.68 / $943.89 / $2,500.00	Professional		$874.68	$943.89	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,951.00 / $11,479.00	Facility		$2,100.00	$5,951.00	$11,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,077.08 / $1,771.53 / $3,547.23	Professional		$1,077.08	$1,771.53	$3,547.23