Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,036.08 / $7,056.73	Facility		$1,129.00	$3,036.08	$7,056.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,610.53 / $1,918.28 / $3,036.08	Professional		$1,610.53	$1,918.28	$3,036.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,490.09 / $18,160.64 / $36,366.68	Facility		$8,490.09	$18,160.64	$36,366.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,706.01 / $2,281.14 / $2,665.58	Professional		$1,706.01	$2,281.14	$2,665.58
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 $1,707.52 / $2,359.06 / $3,657.79	Professional		$1,707.52	$2,359.06	$3,657.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,631.46 / $2,538.21 / $7,256.92	Professional		$1,631.46	$2,538.21	$7,256.92
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 $1,736.16 / $1,999.80 / $2,234.40	Professional		$1,736.16	$1,999.80	$2,234.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,526.59	Professional		$32.34	$32.34	$2,526.59
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 $1,634.50 / $2,292.57 / $4,199.14	Professional		$1,634.50	$2,292.57	$4,199.14