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 $1,853.32 / $2,258.79 / $4,330.88	Professional		$1,853.32	$2,258.79	$4,330.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,785.11 / $29,486.88 / $59,047.47	Facility		$13,785.11	$29,486.88	$59,047.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,697.32 / $3,729.77 / $5,373.61	Professional		$2,697.32	$3,729.77	$5,373.61
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 $2,211.23 / $3,248.15 / $4,739.21	Professional		$2,211.23	$3,248.15	$4,739.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,528.48 / $3,753.44 / $13,515.61	Professional		$2,528.48	$3,753.44	$13,515.61
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 $2,553.77 / $2,815.07 / $3,130.50	Professional		$2,553.77	$2,815.07	$3,130.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,539.88	Professional		$32.34	$32.34	$3,539.88
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 $2,121.96 / $2,913.43 / $4,992.71	Professional		$2,121.96	$2,913.43	$4,992.71