Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,221.00 / $5,549.00	Facility		$1,129.00	$3,221.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,623.51 / $2,138.12 / $3,567.58	Professional		$1,623.51	$2,138.12	$3,567.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,862.45 / $21,096.16 / $42,245.06	Facility		$9,862.45	$21,096.16	$42,245.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,241.23 / $2,655.59 / $3,090.94	Professional		$2,241.23	$2,655.59	$3,090.94
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 $1,980.00 / $2,801.28 / $4,286.68	Professional		$1,980.00	$2,801.28	$4,286.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,895.43 / $3,032.44 / $12,243.00	Professional		$1,895.43	$3,032.44	$12,243.00
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 $2,000.45 / $2,318.92 / $2,601.17	Professional		$2,000.45	$2,318.92	$2,601.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,941.34	Professional		$32.34	$32.34	$2,941.34
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 $1,930.29 / $2,689.78 / $4,495.79	Professional		$1,930.29	$2,689.78	$4,495.79