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 $2,043.93 / $2,444.42 / $4,004.08	Professional		$2,043.93	$2,444.42	$4,004.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,818.69 / $23,141.60 / $46,341.05	Facility		$10,818.69	$23,141.60	$46,341.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,450.82 / $2,903.92 / $3,380.50	Professional		$2,450.82	$2,903.92	$3,380.50
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 $2,165.48 / $3,057.49 / $4,800.06	Professional		$2,165.48	$3,057.49	$4,800.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,069.84 / $3,218.97 / $14,674.80	Professional		$2,069.84	$3,218.97	$14,674.80
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 $2,164.96 / $2,536.16 / $2,844.43	Professional		$2,164.96	$2,536.16	$2,844.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,216.39	Professional		$32.34	$32.34	$3,216.39
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 $2,063.60 / $3,095.40 / $4,965.02	Professional		$2,063.60	$3,095.40	$4,965.02