Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,636.00 / $7,407.00	Facility		$1,129.00	$3,636.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,925.17 / $2,293.19 / $3,646.28	Professional		$1,925.17	$2,293.19	$3,646.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,149.45 / $21,710.08 / $43,474.43	Facility		$10,149.45	$21,710.08	$43,474.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,300.15 / $2,725.39 / $3,184.76	Professional		$2,300.15	$2,725.39	$3,184.76
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 $2,040.10 / $2,814.32 / $4,519.18	Professional		$2,040.10	$2,814.32	$4,519.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,948.35 / $3,032.58 / $7,556.09	Professional		$1,948.35	$3,032.58	$7,556.09
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 $2,071.98 / $2,389.31 / $2,669.55	Professional		$2,071.98	$2,389.31	$2,669.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,018.65	Professional		$32.34	$32.34	$3,018.65
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 $1,953.89 / $2,852.28 / $4,701.06	Professional		$1,953.89	$2,852.28	$4,701.06