Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,377.76 / $7,026.51	Facility		$1,129.00	$3,377.76	$7,026.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,779.01 / $2,484.69 / $4,078.59	Professional		$1,779.01	$2,484.69	$4,078.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,996.98 / $23,522.96 / $47,104.72	Facility		$10,996.98	$23,522.96	$47,104.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,496.42 / $2,957.96 / $3,442.93	Professional		$2,496.42	$2,957.96	$3,442.93
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 $2,185.61 / $3,074.69 / $4,784.52	Professional		$2,185.61	$3,074.69	$4,784.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,108.23 / $3,278.42 / $8,047.70	Professional		$2,108.23	$3,278.42	$8,047.70
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 $2,219.82 / $2,583.00 / $2,897.36	Professional		$2,219.82	$2,583.00	$2,897.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,276.25	Professional		$32.34	$32.34	$3,276.25
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 $2,172.86 / $3,120.08 / $5,041.43	Professional		$2,172.86	$3,120.08	$5,041.43