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 / $6,227.29	Facility		$1,129.00	$3,270.00	$6,227.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,840.69 / $2,201.76 / $3,521.84	Professional		$1,840.69	$2,201.76	$3,521.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,744.70 / $20,844.32 / $41,740.75	Facility		$9,744.70	$20,844.32	$41,740.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,212.26 / $2,621.26 / $3,506.00	Professional		$2,212.26	$2,621.26	$3,506.00
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 $1,954.62 / $2,765.06 / $4,198.31	Professional		$1,954.62	$2,765.06	$4,198.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,870.86 / $2,993.56 / $8,548.04	Professional		$1,870.86	$2,993.56	$8,548.04
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 $1,974.69 / $2,289.19 / $2,567.55	Professional		$1,974.69	$2,289.19	$2,567.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,903.31	Professional		$32.34	$32.34	$2,903.31
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,924.99 / $2,719.29 / $4,467.47	Professional		$1,924.99	$2,719.29	$4,467.47