Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,636.00 / $5,549.00	Facility		$1,159.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,947.15 / $2,466.94 / $4,070.03	Professional		$1,947.15	$2,466.94	$4,070.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,457.34 / $28,785.76 / $57,643.48	Facility		$13,457.34	$28,785.76	$57,643.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,582.46 / $3,723.00 / $4,018.72	Professional		$2,582.46	$3,723.00	$4,018.72
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 $2,048.81 / $3,082.00 / $4,469.66	Professional		$2,048.81	$3,082.00	$4,469.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,282.96 / $3,492.93 / $8,949.91	Professional		$2,282.96	$3,492.93	$8,949.91
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 $2,562.85 / $2,699.93 / $2,967.85	Professional		$2,562.85	$2,699.93	$2,967.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,424.44	Professional		$32.34	$32.34	$3,424.44
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,211.94 / $3,164.89 / $5,088.22	Professional		$2,211.94	$3,164.89	$5,088.22