Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,187.81 / $5,761.47	Facility		$1,129.00	$3,187.81	$5,761.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,702.18 / $2,036.53 / $3,258.40	Professional		$1,702.18	$2,036.53	$3,258.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,013.43 / $19,280.08 / $38,608.36	Facility		$9,013.43	$19,280.08	$38,608.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,027.60 / $2,426.48 / $2,823.07	Professional		$2,027.60	$2,426.48	$2,823.07
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 $1,792.12 / $2,557.14 / $4,237.85	Professional		$1,792.12	$2,557.14	$4,237.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,629.20 / $2,688.18 / $8,198.15	Professional		$1,629.20	$2,688.18	$8,198.15
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 $1,777.80 / $2,117.96 / $2,376.76	Professional		$1,777.80	$2,117.96	$2,376.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,486.46	Professional		$32.34	$32.34	$2,486.46
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 $1,787.55 / $2,703.97 / $4,123.64	Professional		$1,787.55	$2,703.97	$4,123.64