Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,300.33 / $6,865.42	Facility		$1,129.00	$3,300.33	$6,865.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,028.35 / $2,426.13 / $3,882.74	Professional		$2,028.35	$2,426.13	$3,882.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,737.80 / $22,968.56 / $45,994.54	Facility		$10,737.80	$22,968.56	$45,994.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,439.03 / $2,889.95 / $3,865.38	Professional		$2,439.03	$2,889.95	$3,865.38
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 $2,135.51 / $3,031.99 / $4,276.26	Professional		$2,135.51	$3,031.99	$4,276.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,062.62 / $3,300.33 / $9,408.81	Professional		$2,062.62	$3,300.33	$9,408.81
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 $2,177.02 / $2,523.78 / $2,830.74	Professional		$2,177.02	$2,523.78	$2,830.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,200.91	Professional		$32.34	$32.34	$3,200.91
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 $2,054.60 / $3,030.34 / $4,507.85	Professional		$2,054.60	$3,030.34	$4,507.85