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 / $6,609.52	Facility		$1,129.00	$3,270.00	$6,609.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,955.88 / $2,339.48 / $3,836.36	Professional		$1,955.88	$2,339.48	$3,836.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,354.33 / $22,148.32 / $44,352.01	Facility		$10,354.33	$22,148.32	$44,352.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,348.16 / $2,782.28 / $4,030.45	Professional		$2,348.16	$2,782.28	$4,030.45
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 $2,074.60 / $2,922.78 / $4,578.85	Professional		$2,074.60	$2,922.78	$4,578.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,981.31 / $3,166.85 / $9,123.64	Professional		$1,981.31	$3,166.85	$9,123.64
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 $2,083.33 / $2,429.71 / $2,725.28	Professional		$2,083.33	$2,429.71	$2,725.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,081.66	Professional		$32.34	$32.34	$3,081.66
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 $2,031.52 / $2,855.89 / $4,749.68	Professional		$2,031.52	$2,855.89	$4,749.68