Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,270.00 / $6,706.06	Facility		$1,129.00	$3,270.00	$6,706.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,985.09 / $2,364.37 / $3,877.68	Professional		$1,985.09	$2,364.37	$3,877.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,464.44 / $22,383.84 / $44,823.63	Facility		$10,464.44	$22,383.84	$44,823.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,373.46 / $2,812.26 / $3,285.92	Professional		$2,373.46	$2,812.26	$3,285.92
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 $2,104.90 / $2,905.14 / $4,738.31	Professional		$2,104.90	$2,905.14	$4,738.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,991.13 / $3,242.69 / $7,860.50	Professional		$1,991.13	$3,242.69	$7,860.50
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 $2,138.28 / $2,465.19 / $2,754.64	Professional		$2,138.28	$2,465.19	$2,754.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,114.86	Professional		$32.34	$32.34	$3,114.86
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 $2,023.90 / $2,865.60 / $5,197.51	Professional		$2,023.90	$2,865.60	$5,197.51