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 / $6,010.00	Facility		$1,129.00	$3,270.00	$6,010.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.51 / $2,127.32 / $3,329.47	Professional		$1,778.51	$2,127.32	$3,329.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,415.29 / $20,139.68 / $40,329.69	Facility		$9,415.29	$20,139.68	$40,329.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,114.19 / $2,530.12 / $2,944.85	Professional		$2,114.19	$2,530.12	$2,944.85
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 $1,886.42 / $2,613.17 / $4,131.47	Professional		$1,886.42	$2,613.17	$4,131.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,784.45 / $2,916.75 / $6,866.78	Professional		$1,784.45	$2,916.75	$6,866.78
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 $1,893.23 / $2,209.32 / $2,478.28	Professional		$1,893.23	$2,209.32	$2,478.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,802.36	Professional		$32.34	$32.34	$2,802.36
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 $1,865.42 / $2,577.67 / $4,319.01	Professional		$1,865.42	$2,577.67	$4,319.01