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 $2,272.86 / $2,993.87 / $4,889.45	Professional		$2,272.86	$2,993.87	$4,889.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,250.52 / $28,343.36 / $56,757.57	Facility		$13,250.52	$28,343.36	$56,757.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,976.22 / $3,561.72 / $4,763.89	Professional		$2,976.22	$3,561.72	$4,763.89
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 $2,655.37 / $3,709.11 / $6,071.96	Professional		$2,655.37	$3,709.11	$6,071.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.83 / $4,105.97 / $9,655.49	Professional		$2,511.83	$4,105.97	$9,655.49
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 $2,655.21 / $3,109.89 / $3,488.75	Professional		$2,655.21	$3,109.89	$3,488.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,944.97	Professional		$32.34	$32.34	$3,944.97
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 $2,527.71 / $3,618.76 / $6,081.69	Professional		$2,527.71	$3,618.76	$6,081.69