Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,615.87 / $7,407.00	Facility		$1,129.00	$3,615.87	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,222.88 / $2,661.05 / $4,165.52	Professional		$2,222.88	$2,661.05	$4,165.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,777.52 / $25,192.56 / $50,448.10	Facility		$11,777.52	$25,192.56	$50,448.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,672.41 / $3,166.47 / $3,685.64	Professional		$2,672.41	$3,166.47	$3,685.64
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 $2,352.28 / $3,226.46 / $5,241.03	Professional		$2,352.28	$3,226.46	$5,241.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,255.30 / $3,509.52 / $9,868.92	Professional		$2,255.30	$3,509.52	$9,868.92
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 $2,367.04 / $2,765.07 / $3,101.59	Professional		$2,367.04	$2,765.07	$3,101.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,507.18	Professional		$32.34	$32.34	$3,507.18
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 $2,246.21 / $3,128.69 / $5,781.64	Professional		$2,246.21	$3,128.69	$5,781.64