Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,335.00 / $6,661.00	Facility		$1,017.00	$3,335.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,752.23 / $2,137.13 / $3,981.39	Professional		$1,752.23	$2,137.13	$3,981.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,042.65 / $27,898.72 / $55,867.18	Facility		$13,042.65	$27,898.72	$55,867.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,551.75 / $3,528.48 / $4,300.47	Professional		$2,551.75	$3,528.48	$4,300.47
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 $2,131.21 / $3,075.47 / $4,477.50	Professional		$2,131.21	$3,075.47	$4,477.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,306.96 / $3,582.34 / $8,556.92	Professional		$2,306.96	$3,582.34	$8,556.92
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 $2,412.27 / $2,663.27 / $2,961.56	Professional		$2,412.27	$2,663.27	$2,961.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,348.84	Professional		$32.34	$32.34	$3,348.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,998.15 / $2,758.23 / $4,735.95	Professional		$1,998.15	$2,758.23	$4,735.95