Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $3,569.03 / $7,001.00	Facility		$1,105.00	$3,569.03	$7,001.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,542.40 / $1,946.01 / $3,569.03	Professional		$1,542.40	$1,946.01	$3,569.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,876.25 / $25,403.76 / $50,871.02	Facility		$11,876.25	$25,403.76	$50,871.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,323.85 / $3,213.35 / $3,842.16	Professional		$2,323.85	$3,213.35	$3,842.16
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 $1,840.46 / $2,741.13 / $4,017.44	Professional		$1,840.46	$2,741.13	$4,017.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,080.60 / $3,119.25 / $7,537.09	Professional		$2,080.60	$3,119.25	$7,537.09
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 $2,056.57 / $2,379.46 / $2,697.06	Professional		$2,056.57	$2,379.46	$2,697.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,049.75	Professional		$32.34	$32.34	$3,049.75
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 $1,764.71 / $2,400.60 / $4,229.52	Professional		$1,764.71	$2,400.60	$4,229.52