Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,458.67 / $7,194.81	Facility		$1,129.00	$3,458.67	$7,194.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,893.50 / $2,545.78 / $4,069.02	Professional		$1,893.50	$2,545.78	$4,069.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,267.34 / $24,101.28 / $48,262.81	Facility		$11,267.34	$24,101.28	$48,262.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,556.39 / $3,029.01 / $3,525.39	Professional		$2,556.39	$3,029.01	$3,525.39
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 $2,258.30 / $3,183.96 / $4,950.60	Professional		$2,258.30	$3,183.96	$4,950.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,157.12 / $3,458.67 / $8,262.87	Professional		$2,157.12	$3,458.67	$8,262.87
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 $2,264.85 / $2,644.86 / $2,966.95	Professional		$2,264.85	$2,644.86	$2,966.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,354.94	Professional		$32.34	$32.34	$3,354.94
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 $2,148.41 / $3,087.44 / $5,169.07	Professional		$2,148.41	$3,087.44	$5,169.07