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 $2,395.69 / $2,854.07 / $4,661.83	Professional		$2,395.69	$2,854.07	$4,661.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,631.81 / $27,019.92 / $54,107.38	Facility		$12,631.81	$27,019.92	$54,107.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,853.42 / $3,380.95 / $3,953.58	Professional		$2,853.42	$3,380.95	$3,953.58
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 $2,507.50 / $3,491.67 / $5,641.24	Professional		$2,507.50	$3,491.67	$5,641.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,417.34 / $3,764.67 / $15,421.84	Professional		$2,417.34	$3,764.67	$15,421.84
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 $2,573.57 / $2,966.11 / $3,311.69	Professional		$2,573.57	$2,966.11	$3,311.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,744.75	Professional		$32.34	$32.34	$3,744.75
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 $2,438.21 / $3,516.61 / $6,266.88	Professional		$2,438.21	$3,516.61	$6,266.88