Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,270.44 / $6,803.26	Facility		$1,129.00	$3,270.44	$6,803.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,708.00 / $2,278.07 / $3,766.40	Professional		$1,708.00	$2,278.07	$3,766.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,613.22 / $22,702.08 / $45,460.91	Facility		$10,613.22	$22,702.08	$45,460.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,394.53 / $2,865.59 / $3,333.55	Professional		$2,394.53	$2,865.59	$3,333.55
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 $2,129.17 / $2,926.74 / $4,760.21	Professional		$2,129.17	$2,926.74	$4,760.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,047.76 / $3,174.25 / $7,781.77	Professional		$2,047.76	$3,174.25	$7,781.77
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 $2,104.96 / $2,500.92 / $2,806.88	Professional		$2,104.96	$2,500.92	$2,806.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,173.94	Professional		$32.34	$32.34	$3,173.94
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 $2,039.13 / $2,926.75 / $5,250.55	Professional		$2,039.13	$2,926.75	$5,250.55