Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,178.38 / $5,771.68	Facility		$1,129.00	$3,178.38	$5,771.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,705.79 / $2,040.41 / $3,178.38	Professional		$1,705.79	$2,040.41	$3,178.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,030.64 / $19,316.88 / $38,682.05	Facility		$9,030.64	$19,316.88	$38,682.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,050.21 / $2,429.23 / $3,249.17	Professional		$2,050.21	$2,429.23	$3,249.17
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 $1,795.30 / $2,549.06 / $3,967.11	Professional		$1,795.30	$2,549.06	$3,967.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,735.27 / $2,774.55 / $8,231.39	Professional		$1,735.27	$2,774.55	$8,231.39
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 $1,834.37 / $2,121.71 / $2,379.46	Professional		$1,834.37	$2,121.71	$2,379.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,690.63	Professional		$32.34	$32.34	$2,690.63
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 $1,721.11 / $2,544.19 / $4,414.02	Professional		$1,721.11	$2,544.19	$4,414.02