Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $3,270.00 / $9,691.00	Facility		$1,272.00	$3,270.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,563.66 / $2,003.16 / $2,906.40	Professional		$1,563.66	$2,003.16	$2,906.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,708.25 / $17,998.09 / $41,868.96	Facility		$7,708.25	$17,998.09	$41,868.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,086.58 / $3,008.13 / $3,213.63	Professional		$2,086.58	$3,008.13	$3,213.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $1,383.00 / $1,434.00	Facility		$1,383.00	$1,383.00	$1,434.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,484.09 / $2,490.19 / $3,292.10	Professional		$1,484.09	$2,490.19	$3,292.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,812.98 / $2,767.05 / $7,740.17	Professional		$1,812.98	$2,767.05	$7,740.17
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 $2,055.52 / $2,159.04 / $2,397.96	Professional		$2,055.52	$2,159.04	$2,397.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,766.89	Professional		$32.34	$32.34	$2,766.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,998.00 / $11,831.32	Facility		$2,100.00	$5,998.00	$11,831.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,615.82 / $2,344.08 / $3,959.82	Professional		$1,615.82	$2,344.08	$3,959.82