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 / $6,148.54	Facility		$1,129.00	$3,270.00	$6,148.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,681.75 / $2,174.01 / $3,401.59	Professional		$1,681.75	$2,174.01	$3,401.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,621.89 / $20,581.59 / $41,214.65	Facility		$9,621.89	$20,581.59	$41,214.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,184.57 / $2,588.44 / $3,012.74	Professional		$2,184.57	$2,588.44	$3,012.74
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 $1,917.30 / $2,645.62 / $4,460.85	Professional		$1,917.30	$2,645.62	$4,460.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,843.80 / $2,868.77 / $8,091.43	Professional		$1,843.80	$2,868.77	$8,091.43
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 $1,939.46 / $2,260.25 / $2,535.42	Professional		$1,939.46	$2,260.25	$2,535.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,866.97	Professional		$32.34	$32.34	$2,866.97
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 $1,906.90 / $2,647.92 / $4,417.13	Professional		$1,906.90	$2,647.92	$4,417.13