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 / $6,221.28	Facility		$1,129.00	$3,270.00	$6,221.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,838.02 / $2,198.60 / $3,427.24	Professional		$1,838.02	$2,198.60	$3,427.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,730.76 / $20,814.48 / $41,680.99	Facility		$9,730.76	$20,814.48	$41,680.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,210.50 / $2,619.16 / $3,048.37	Professional		$2,210.50	$2,619.16	$3,048.37
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 $1,952.73 / $2,762.85 / $4,202.79	Professional		$1,952.73	$2,762.85	$4,202.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,869.51 / $2,990.67 / $8,852.46	Professional		$1,869.51	$2,990.67	$8,852.46
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 $1,973.10 / $2,286.98 / $2,565.50	Professional		$1,973.10	$2,286.98	$2,565.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,900.99	Professional		$32.34	$32.34	$2,900.99
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 $1,973.27 / $2,708.67 / $4,459.67	Professional		$1,973.27	$2,708.67	$4,459.67