Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,405.70 / $7,084.59	Facility		$1,129.00	$3,405.70	$7,084.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.32 / $2,405.19 / $3,905.93	Professional		$1,819.32	$2,405.19	$3,905.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,064.45 / $23,667.28 / $47,393.72	Facility		$11,064.45	$23,667.28	$47,393.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,510.00 / $2,974.04 / $3,471.41	Professional		$2,510.00	$2,974.04	$3,471.41
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 $2,169.19 / $3,052.89 / $4,822.04	Professional		$2,169.19	$3,052.89	$4,822.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,122.05 / $3,305.53 / $9,142.87	Professional		$2,122.05	$3,305.53	$9,142.87
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 $2,246.48 / $2,604.36 / $2,913.11	Professional		$2,246.48	$2,604.36	$2,913.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,294.05	Professional		$32.34	$32.34	$3,294.05
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 $2,123.15 / $3,075.70 / $5,108.30	Professional		$2,123.15	$3,075.70	$5,108.30