Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $3,244.28 / $9,500.00	Facility		$1,105.00	$3,244.28	$9,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,506.19 / $1,813.19 / $3,501.54	Professional		$1,506.19	$1,813.19	$3,501.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,065.68 / $23,669.92 / $47,399.01	Facility		$11,065.68	$23,669.92	$47,399.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,143.23 / $2,963.59 / $3,611.27	Professional		$2,143.23	$2,963.59	$3,611.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $26,502.00 / $29,075.00	Facility		$875.00	$26,502.00	$29,075.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,534.81 / $2,515.23 / $3,635.47	Professional		$1,534.81	$2,515.23	$3,635.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,978.37 / $2,987.58 / $10,417.84	Professional		$1,978.37	$2,987.58	$10,417.84
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 $2,029.11 / $2,236.46 / $2,487.42	Professional		$2,029.11	$2,236.46	$2,487.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,812.71	Professional		$32.34	$32.34	$2,812.71
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 $1,605.17 / $2,114.89 / $3,978.35	Professional		$1,605.17	$2,114.89	$3,978.35