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 $2,241.29 / $2,680.80 / $4,183.68	Professional		$2,241.29	$2,680.80	$4,183.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,864.92 / $25,379.52 / $50,822.48	Facility		$11,864.92	$25,379.52	$50,822.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.20 / $3,188.73 / $4,265.01	Professional		$2,691.20	$3,188.73	$4,265.01
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 $2,356.44 / $3,350.65 / $5,126.71	Professional		$2,356.44	$3,350.65	$5,126.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,272.42 / $3,641.79 / $12,731.11	Professional		$2,272.42	$3,641.79	$12,731.11
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 $2,392.65 / $2,784.90 / $3,123.41	Professional		$2,392.65	$2,784.90	$3,123.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,531.85	Professional		$32.34	$32.34	$3,531.85
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 $2,261.01 / $3,226.25 / $5,439.99	Professional		$2,261.01	$3,226.25	$5,439.99