Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,415.93 / $5,549.00	Facility		$1,159.00	$3,415.93	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,690.22 / $2,021.91 / $3,397.83	Professional		$1,690.22	$2,021.91	$3,397.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,948.73 / $19,141.68 / $38,331.21	Facility		$8,948.73	$19,141.68	$38,331.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,016.02 / $2,412.62 / $3,017.06	Professional		$2,016.02	$2,412.62	$3,017.06
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 $1,782.71 / $2,540.57 / $4,234.09	Professional		$1,782.71	$2,540.57	$4,234.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,725.14 / $2,672.27 / $7,106.46	Professional		$1,725.14	$2,672.27	$7,106.46
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 $1,766.52 / $2,105.42 / $2,363.19	Professional		$1,766.52	$2,105.42	$2,363.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,672.22	Professional		$32.34	$32.34	$2,672.22
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 $1,788.62 / $2,664.04 / $4,097.59	Professional		$1,788.62	$2,664.04	$4,097.59