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 / $6,359.44	Facility		$1,129.00	$3,270.00	$6,359.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,528.16 / $2,250.66 / $3,691.06	Professional		$1,528.16	$2,250.66	$3,691.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,961.19 / $21,307.36 / $42,667.98	Facility		$9,961.19	$21,307.36	$42,667.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,259.23 / $2,676.91 / $3,116.08	Professional		$2,259.23	$2,676.91	$3,116.08
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 $1,978.12 / $2,811.81 / $4,068.85	Professional		$1,978.12	$2,811.81	$4,068.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,906.69 / $3,036.54 / $11,132.06	Professional		$1,906.69	$3,036.54	$11,132.06
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 $2,005.69 / $2,337.78 / $2,622.06	Professional		$2,005.69	$2,337.78	$2,622.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,964.95	Professional		$32.34	$32.34	$2,964.95
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 $1,899.03 / $2,749.91 / $4,569.07	Professional		$1,899.03	$2,749.91	$4,569.07