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 / $6,782.25	Facility		$1,129.00	$3,270.00	$6,782.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,013.82 / $2,397.69 / $3,826.55	Professional		$2,013.82	$2,397.69	$3,826.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,611.95 / $22,699.36 / $45,455.46	Facility		$10,611.95	$22,699.36	$45,455.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,375.85 / $2,843.24 / $3,802.90	Professional		$2,375.85	$2,843.24	$3,802.90
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 $2,109.63 / $3,005.34 / $4,327.34	Professional		$2,109.63	$3,005.34	$4,327.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,966.18 / $3,260.35 / $7,883.24	Professional		$1,966.18	$3,260.35	$7,883.24
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 $2,130.02 / $2,493.21 / $2,784.99	Professional		$2,130.02	$2,493.21	$2,784.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,149.18	Professional		$32.34	$32.34	$3,149.18
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 $2,137.89 / $3,249.99 / $4,925.08	Professional		$2,137.89	$3,249.99	$4,925.08