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 / $7,000.00	Facility		$1,017.00	$3,335.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,117.48 / $2,585.57 / $4,827.49	Professional		$2,117.48	$2,585.57	$4,827.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,779.47 / $33,752.87 / $67,590.14	Facility		$15,779.47	$33,752.87	$67,590.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,083.30 / $4,263.49 / $5,197.47	Professional		$3,083.30	$4,263.49	$5,197.47
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 $1,877.40 / $3,545.00 / $5,252.67	Professional		$1,877.40	$3,545.00	$5,252.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,348.90 / $4,110.83 / $10,232.09	Professional		$2,348.90	$4,110.83	$10,232.09
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 $2,908.17 / $3,218.79 / $3,578.48	Professional		$2,908.17	$3,218.79	$3,578.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,046.44	Professional		$32.34	$32.34	$4,046.44
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 $2,010.58 / $2,993.26 / $5,698.71	Professional		$2,010.58	$2,993.26	$5,698.71