Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,459.45 / $5,549.00	Facility		$1,159.00	$3,459.45	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,639.18 / $2,119.27 / $3,459.45	Professional		$1,639.18	$2,119.27	$3,459.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,560.78 / $24,728.96 / $49,519.74	Facility		$11,560.78	$24,728.96	$49,519.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,254.17 / $3,249.73 / $3,437.67	Professional		$2,254.17	$3,249.73	$3,437.67
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 $1,967.34 / $2,690.21 / $4,175.08	Professional		$1,967.34	$2,690.21	$4,175.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,954.25 / $3,175.69 / $7,506.55	Professional		$1,954.25	$3,175.69	$7,506.55
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 $1,992.80 / $2,309.57 / $2,590.58	Professional		$1,992.80	$2,309.57	$2,590.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,989.13	Professional		$32.34	$32.34	$2,989.13
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 $1,962.43 / $2,766.75 / $4,447.72	Professional		$1,962.43	$2,766.75	$4,447.72