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 $2,689.79 / $3,203.79 / $5,081.39	Professional		$2,689.79	$3,203.79	$5,081.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,179.64 / $30,330.80 / $60,737.42	Facility		$14,179.64	$30,330.80	$60,737.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,211.57 / $3,805.31 / $4,447.03	Professional		$3,211.57	$3,805.31	$4,447.03
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 $2,549.15 / $3,912.94 / $6,338.02	Professional		$2,549.15	$3,912.94	$6,338.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,622.13 / $4,106.22 / $10,444.51	Professional		$2,622.13	$4,106.22	$10,444.51
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 $2,883.96 / $3,336.31 / $3,727.35	Professional		$2,883.96	$3,336.31	$3,727.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,214.77	Professional		$32.34	$32.34	$4,214.77
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 $2,730.90 / $3,788.59 / $7,032.19	Professional		$2,730.90	$3,788.59	$7,032.19