Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,636.00 / $7,407.00	Facility		$1,017.00	$3,636.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,397.25 / $2,861.04 / $4,490.29	Professional		$2,397.25	$2,861.04	$4,490.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,662.63 / $27,085.84 / $54,239.39	Facility		$12,662.63	$27,085.84	$54,239.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,794.35 / $3,344.07 / $4,690.63	Professional		$2,794.35	$3,344.07	$4,690.63
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 $2,481.39 / $3,536.90 / $4,866.72	Professional		$2,481.39	$3,536.90	$4,866.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,312.96 / $3,789.76 / $11,497.71	Professional		$2,312.96	$3,789.76	$11,497.71
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 $2,505.71 / $2,932.55 / $3,275.56	Professional		$2,505.71	$2,932.55	$3,275.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,703.90	Professional		$32.34	$32.34	$3,703.90
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 $2,419.81 / $3,836.81 / $6,433.72	Professional		$2,419.81	$3,836.81	$6,433.72