Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,290.55 / $6,845.10	Facility		$1,129.00	$3,290.55	$6,845.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,768.71 / $2,423.44 / $3,871.24	Professional		$1,768.71	$2,423.44	$3,871.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,725.87 / $22,943.04 / $45,943.43	Facility		$10,725.87	$22,943.04	$45,943.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,431.92 / $2,881.54 / $3,854.13	Professional		$2,431.92	$2,881.54	$3,854.13
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 $2,148.54 / $3,030.45 / $4,318.53	Professional		$2,148.54	$3,030.45	$4,318.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,053.30 / $3,193.77 / $8,315.37	Professional		$2,053.30	$3,193.77	$8,315.37
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 $2,149.81 / $2,516.31 / $2,822.50	Professional		$2,149.81	$2,516.31	$2,822.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,191.59	Professional		$32.34	$32.34	$3,191.59
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 $1,943.62 / $2,852.17 / $4,922.47	Professional		$1,943.62	$2,852.17	$4,922.47