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 / $6,017.90	Facility		$1,129.00	$3,270.00	$6,017.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.61 / $2,127.41 / $3,317.37	Professional		$1,778.61	$2,127.41	$3,317.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,415.67 / $20,140.48 / $40,331.31	Facility		$9,415.67	$20,140.48	$40,331.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.67 / $2,532.88 / $2,948.72	Professional		$2,137.67	$2,532.88	$2,948.72
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 $1,871.88 / $2,658.10 / $4,057.50	Professional		$1,871.88	$2,658.10	$4,057.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,808.74 / $2,892.91 / $8,572.54	Professional		$1,808.74	$2,892.91	$8,572.54
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 $1,911.03 / $2,212.21 / $2,480.98	Professional		$1,911.03	$2,212.21	$2,480.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,805.42	Professional		$32.34	$32.34	$2,805.42
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 $1,858.48 / $2,560.46 / $4,315.52	Professional		$1,858.48	$2,560.46	$4,315.52