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 $2,309.98 / $2,763.26 / $4,369.42	Professional		$2,309.98	$2,763.26	$4,369.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,229.91 / $26,160.24 / $52,385.88	Facility		$12,229.91	$26,160.24	$52,385.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,689.00 / $3,217.99 / $3,743.96	Professional		$2,689.00	$3,217.99	$3,743.96
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 $2,398.31 / $3,394.43 / $5,516.65	Professional		$2,398.31	$3,394.43	$5,516.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,299.92 / $3,565.06 / $9,130.64	Professional		$2,299.92	$3,565.06	$9,130.64
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 $2,351.94 / $2,808.83 / $3,152.06	Professional		$2,351.94	$2,808.83	$3,152.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,564.25	Professional		$32.34	$32.34	$3,564.25
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,347.27 / $3,442.50 / $5,647.53	Professional		$2,347.27	$3,442.50	$5,647.53