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 / $6,338.01	Facility		$1,129.00	$3,270.00	$6,338.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.77 / $2,243.60 / $3,620.30	Professional		$1,634.77	$2,243.60	$3,620.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,929.92 / $21,240.48 / $42,534.06	Facility		$9,929.92	$21,240.48	$42,534.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,229.71 / $2,668.35 / $3,105.57	Professional		$2,229.71	$2,668.35	$3,105.57
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 $1,989.37 / $2,800.70 / $4,382.50	Professional		$1,989.37	$2,800.70	$4,382.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,900.95 / $3,046.79 / $7,319.90	Professional		$1,900.95	$3,046.79	$7,319.90
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 $1,999.84 / $2,329.90 / $2,613.67	Professional		$1,999.84	$2,329.90	$2,613.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,955.46	Professional		$32.34	$32.34	$2,955.46
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 $1,965.71 / $2,734.21 / $4,866.57	Professional		$1,965.71	$2,734.21	$4,866.57