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 / $7,001.00	Facility		$1,105.00	$3,694.00	$7,001.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,691.45 / $2,062.50 / $3,860.77	Professional		$1,691.45	$2,062.50	$3,860.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,587.23 / $26,924.56 / $53,916.43	Facility		$12,587.23	$26,924.56	$53,916.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,463.01 / $3,405.77 / $4,150.89	Professional		$2,463.01	$3,405.77	$4,150.89
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 $2,015.56 / $2,968.51 / $4,365.35	Professional		$2,015.56	$2,968.51	$4,365.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,308.85 / $3,408.30 / $8,010.96	Professional		$2,308.85	$3,408.30	$8,010.96
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 $2,329.34 / $2,570.65 / $2,858.57	Professional		$2,329.34	$2,570.65	$2,858.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,232.38	Professional		$32.34	$32.34	$3,232.38
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 $1,967.27 / $2,705.00 / $4,752.95	Professional		$1,967.27	$2,705.00	$4,752.95