Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,313.78 / $5,549.00	Facility		$1,159.00	$3,313.78	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,573.66 / $2,030.54 / $3,313.78	Professional		$1,573.66	$2,030.54	$3,313.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,076.75 / $23,693.60 / $47,446.43	Facility		$11,076.75	$23,693.60	$47,446.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,168.51 / $3,126.24 / $3,307.56	Professional		$2,168.51	$3,126.24	$3,307.56
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 $1,302.00 / $2,587.98 / $3,642.34	Professional		$1,302.00	$2,587.98	$3,642.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,674.69 / $2,820.43 / $7,186.00	Professional		$1,674.69	$2,820.43	$7,186.00
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 $1,920.89 / $2,222.16 / $2,492.13	Professional		$1,920.89	$2,222.16	$2,492.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,875.53	Professional		$32.34	$32.34	$2,875.53
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 $1,750.44 / $2,610.30 / $4,943.84	Professional		$1,750.44	$2,610.30	$4,943.84