Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,636.00 / $7,723.00	Facility		$1,129.00	$3,636.00	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,356.84 / $2,822.84 / $4,412.89	Professional		$2,356.84	$2,822.84	$4,412.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,493.54 / $26,724.16 / $53,515.13	Facility		$12,493.54	$26,724.16	$53,515.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,831.20 / $3,354.62 / $3,904.67	Professional		$2,831.20	$3,354.62	$3,904.67
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 $2,501.26 / $3,485.67 / $4,996.12	Professional		$2,501.26	$3,485.67	$4,996.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,389.78 / $3,718.09 / $9,167.37	Professional		$2,389.78	$3,718.09	$9,167.37
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 $2,505.61 / $2,929.41 / $3,285.89	Professional		$2,505.61	$2,929.41	$3,285.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,715.59	Professional		$32.34	$32.34	$3,715.59
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 $2,381.91 / $3,291.60 / $5,730.88	Professional		$2,381.91	$3,291.60	$5,730.88