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 / $7,407.00	Facility		$1,129.00	$3,636.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,728.16 / $3,257.89 / $5,079.20	Professional		$2,728.16	$3,257.89	$5,079.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,419.04 / $30,842.88 / $61,762.86	Facility		$14,419.04	$30,842.88	$61,762.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,185.90 / $3,812.65 / $4,455.62	Professional		$3,185.90	$3,812.65	$4,455.62
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 $2,197.78 / $3,878.17 / $5,458.17	Professional		$2,197.78	$3,878.17	$5,458.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,261.91 / $4,055.96 / $10,561.73	Professional		$2,261.91	$4,055.96	$10,561.73
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 $2,889.04 / $3,342.74 / $3,734.54	Professional		$2,889.04	$3,342.74	$3,734.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,222.89	Professional		$32.34	$32.34	$4,222.89
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 $2,140.17 / $3,413.60 / $6,701.67	Professional		$2,140.17	$3,413.60	$6,701.67