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 $2,545.88 / $3,045.76 / $4,807.76	Professional		$2,545.88	$3,045.76	$4,807.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,480.19 / $28,834.64 / $57,741.36	Facility		$13,480.19	$28,834.64	$57,741.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,031.84 / $3,628.28 / $4,221.18	Professional		$3,031.84	$3,628.28	$4,221.18
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 $2,692.42 / $3,748.43 / $6,269.86	Professional		$2,692.42	$3,748.43	$6,269.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,557.85 / $4,182.71 / $9,916.16	Professional		$2,557.85	$4,182.71	$9,916.16
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 $2,649.50 / $3,166.87 / $3,553.94	Professional		$2,649.50	$3,166.87	$3,553.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,018.69	Professional		$32.34	$32.34	$4,018.69
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 $2,565.61 / $3,817.49 / $6,172.86	Professional		$2,565.61	$3,817.49	$6,172.86