Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,270.00 / $6,420.05	Facility		$1,129.00	$3,270.00	$6,420.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,897.24 / $2,269.11 / $3,540.43	Professional		$1,897.24	$2,269.11	$3,540.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,042.79 / $21,481.92 / $43,017.54	Facility		$10,042.79	$21,481.92	$43,017.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,280.76 / $2,702.42 / $3,145.78	Professional		$2,280.76	$2,702.42	$3,145.78
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 $1,996.98 / $2,850.67 / $4,471.28	Professional		$1,996.98	$2,850.67	$4,471.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,928.76 / $3,086.23 / $13,996.00	Professional		$1,928.76	$3,086.23	$13,996.00
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 $2,035.74 / $2,360.06 / $2,647.06	Professional		$2,035.74	$2,360.06	$2,647.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,993.21	Professional		$32.34	$32.34	$2,993.21
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,800.00 / $6,650.00	Facility		$785.00	$2,800.00	$6,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,984.37 / $2,709.52 / $4,605.54	Professional		$1,984.37	$2,709.52	$4,605.54