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 $1,867.80 / $2,414.69 / $4,047.88	Professional		$1,867.80	$2,414.69	$4,047.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,172.39 / $28,176.24 / $56,422.92	Facility		$13,172.39	$28,176.24	$56,422.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,567.96 / $3,702.10 / $3,916.29	Professional		$2,567.96	$3,702.10	$3,916.29
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 $2,244.82 / $3,064.69 / $4,775.31	Professional		$2,244.82	$3,064.69	$4,775.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,226.33 / $3,622.01 / $8,527.95	Professional		$2,226.33	$3,622.01	$8,527.95
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 $2,265.25 / $2,631.12 / $2,951.18	Professional		$2,265.25	$2,631.12	$2,951.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,405.21	Professional		$32.34	$32.34	$3,405.21
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 $2,241.81 / $3,173.16 / $5,073.80	Professional		$2,241.81	$3,173.16	$5,073.80