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 / $6,230.98	Facility		$1,129.00	$3,270.00	$6,230.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,841.01 / $2,202.44 / $3,455.96	Professional		$1,841.01	$2,202.44	$3,455.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,747.74 / $20,850.80 / $41,753.72	Facility		$9,747.74	$20,850.80	$41,753.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,192.69 / $2,624.05 / $3,286.08	Professional		$2,192.69	$2,624.05	$3,286.08
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 $1,935.94 / $2,704.67 / $3,761.45	Professional		$1,935.94	$2,704.67	$3,761.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,850.07 / $3,025.02 / $8,227.89	Professional		$1,850.07	$3,025.02	$8,227.89
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 $1,921.70 / $2,290.56 / $2,570.28	Professional		$1,921.70	$2,290.56	$2,570.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,906.40	Professional		$32.34	$32.34	$2,906.40
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 $1,793.96 / $2,512.52 / $4,463.14	Professional		$1,793.96	$2,512.52	$4,463.14