Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.35 / $3,270.00 / $7,407.00	Facility		$1,080.35	$3,270.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,863.06 / $2,228.58 / $3,472.72	Professional		$1,863.06	$2,228.58	$3,472.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,863.42 / $21,098.24 / $42,249.22	Facility		$9,863.42	$21,098.24	$42,249.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,240.26 / $2,654.43 / $3,550.36	Professional		$2,240.26	$2,654.43	$3,550.36
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 $1,979.12 / $2,782.54 / $4,332.56	Professional		$1,979.12	$2,782.54	$4,332.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,895.31 / $3,031.19 / $7,274.42	Professional		$1,895.31	$3,031.19	$7,274.42
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 $2,001.64 / $2,317.96 / $2,600.04	Professional		$2,001.64	$2,317.96	$2,600.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,940.04	Professional		$32.34	$32.34	$2,940.04
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 $1,878.82 / $2,715.62 / $4,520.43	Professional		$1,878.82	$2,715.62	$4,520.43