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 $2,142.23 / $2,769.57 / $4,534.08	Professional		$2,142.23	$2,769.57	$4,534.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,108.25 / $32,317.12 / $64,715.03	Facility		$15,108.25	$32,317.12	$64,715.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,943.32 / $4,243.24 / $4,488.20	Professional		$2,943.32	$4,243.24	$4,488.20
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 $1,851.74 / $3,512.66 / $4,943.74	Professional		$1,851.74	$3,512.66	$4,943.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,372.46 / $3,902.96 / $9,643.52	Professional		$2,372.46	$3,902.96	$9,643.52
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 $2,581.48 / $3,015.35 / $3,382.56	Professional		$2,581.48	$3,015.35	$3,382.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,902.96	Professional		$32.34	$32.34	$3,902.96
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 $2,318.81 / $3,370.81 / $5,847.57	Professional		$2,318.81	$3,370.81	$5,847.57