Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,178.87 / $5,549.00	Facility		$1,159.00	$3,178.87	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.09 / $1,946.01 / $3,178.87	Professional		$1,505.09	$1,946.01	$3,178.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,615.61 / $22,707.20 / $45,471.16	Facility		$10,615.61	$22,707.20	$45,471.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,069.81 / $2,983.94 / $3,156.60	Professional		$2,069.81	$2,983.94	$3,156.60
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 $1,803.39 / $2,470.17 / $3,615.21	Professional		$1,803.39	$2,470.17	$3,615.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,794.46 / $2,836.13 / $6,847.35	Professional		$1,794.46	$2,836.13	$6,847.35
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 $1,827.92 / $2,120.73 / $2,378.69	Professional		$1,827.92	$2,120.73	$2,378.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,744.64	Professional		$32.34	$32.34	$2,744.64
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 $1,783.68 / $2,386.87 / $3,807.81	Professional		$1,783.68	$2,386.87	$3,807.81