Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,270.00 / $6,367.68	Facility		$1,129.00	$3,270.00	$6,367.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,869.02 / $2,250.04 / $3,526.94	Professional		$1,869.02	$2,250.04	$3,526.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,958.42 / $21,301.44 / $42,656.13	Facility		$9,958.42	$21,301.44	$42,656.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,240.84 / $2,681.67 / $3,120.11	Professional		$2,240.84	$2,681.67	$3,120.11
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 $1,968.15 / $2,763.63 / $3,812.62	Professional		$1,968.15	$2,763.63	$3,812.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,890.65 / $3,091.46 / $6,660.34	Professional		$1,890.65	$3,091.46	$6,660.34
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 $1,963.35 / $2,340.81 / $2,626.73	Professional		$1,963.35	$2,340.81	$2,626.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,970.22	Professional		$32.34	$32.34	$2,970.22
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 $1,930.73 / $2,649.06 / $4,560.39	Professional		$1,930.73	$2,649.06	$4,560.39