Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,270.00 / $6,029.31	Facility		$1,129.00	$3,270.00	$6,029.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,550.89 / $2,133.19 / $3,722.59	Professional		$1,550.89	$2,133.19	$3,722.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,441.29 / $20,195.28 / $40,441.04	Facility		$9,441.29	$20,195.28	$40,441.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,142.30 / $2,538.36 / $2,954.31	Professional		$2,142.30	$2,538.36	$2,954.31
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 $1,885.00 / $2,589.61 / $4,118.35	Professional		$1,885.00	$2,589.61	$4,118.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,790.19 / $2,926.25 / $9,366.82	Professional		$1,790.19	$2,926.25	$9,366.82
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 $1,899.05 / $2,216.42 / $2,486.35	Professional		$1,899.05	$2,216.42	$2,486.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,811.49	Professional		$32.34	$32.34	$2,811.49
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 $1,800.51 / $2,578.96 / $4,332.03	Professional		$1,800.51	$2,578.96	$4,332.03