Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $3,694.00 / $7,407.00	Facility		$1,105.00	$3,694.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,667.96 / $2,177.28 / $3,842.61	Professional		$1,667.96	$2,177.28	$3,842.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,287.69 / $28,422.88 / $56,916.81	Facility		$13,287.69	$28,422.88	$56,916.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,618.71 / $3,621.07 / $4,246.79	Professional		$2,618.71	$3,621.07	$4,246.79
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 $1,933.58 / $3,034.66 / $4,442.02	Professional		$1,933.58	$3,034.66	$4,442.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,263.71 / $3,459.52 / $7,247.74	Professional		$2,263.71	$3,459.52	$7,247.74
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 $2,179.88 / $2,630.04 / $3,039.27	Professional		$2,179.88	$2,630.04	$3,039.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,436.71	Professional		$32.34	$32.34	$3,436.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $7,842.00 / $21,651.00	Facility		$2,421.00	$7,842.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,898.74 / $2,591.63 / $4,629.92	Professional		$1,898.74	$2,591.63	$4,629.92