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 / $6,684.32	Facility		$1,129.00	$3,270.00	$6,684.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,974.02 / $2,361.69 / $3,699.20	Professional		$1,974.02	$2,361.69	$3,699.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,452.58 / $22,358.48 / $44,772.85	Facility		$10,452.58	$22,358.48	$44,772.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,352.69 / $2,815.52 / $3,524.16	Professional		$2,352.69	$2,815.52	$3,524.16
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 $2,079.17 / $2,884.46 / $4,793.28	Professional		$2,079.17	$2,884.46	$4,793.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,012.98 / $3,118.76 / $7,781.77	Professional		$2,012.98	$3,118.76	$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 $2,059.10 / $2,457.21 / $2,757.83	Professional		$2,059.10	$2,457.21	$2,757.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,118.47	Professional		$32.34	$32.34	$3,118.47
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 $2,088.85 / $3,037.66 / $4,782.68	Professional		$2,088.85	$3,037.66	$4,782.68