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 $2,257.88 / $2,700.92 / $4,213.70	Professional		$2,257.88	$2,700.92	$4,213.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,953.97 / $25,570.00 / $51,203.92	Facility		$11,953.97	$25,570.00	$51,203.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,712.04 / $3,213.43 / $4,298.05	Professional		$2,712.04	$3,213.43	$4,298.05
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 $2,036.54 / $3,287.37 / $5,084.64	Professional		$2,036.54	$3,287.37	$5,084.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,038.80 / $3,453.58 / $8,682.76	Professional		$2,038.80	$3,453.58	$8,682.76
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 $2,409.48 / $2,806.04 / $3,147.60	Professional		$2,409.48	$2,806.04	$3,147.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,559.21	Professional		$32.34	$32.34	$3,559.21
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 $2,162.36 / $3,159.27 / $5,476.47	Professional		$2,162.36	$3,159.27	$5,476.47