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 / $5,846.79	Facility		$1,129.00	$3,270.00	$5,846.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,710.00 / $2,065.86 / $3,355.93	Professional		$1,710.00	$2,065.86	$3,355.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,143.29 / $19,557.84 / $39,164.57	Facility		$9,143.29	$19,557.84	$39,164.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,057.67 / $2,462.46 / $3,081.08	Professional		$2,057.67	$2,462.46	$3,081.08
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 $1,818.66 / $2,543.32 / $4,233.29	Professional		$1,818.66	$2,543.32	$4,233.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,736.00 / $2,838.75 / $7,101.22	Professional		$1,736.00	$2,838.75	$7,101.22
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 $1,804.08 / $2,149.33 / $2,412.01	Professional		$1,804.08	$2,149.33	$2,412.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,727.42	Professional		$32.34	$32.34	$2,727.42
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 $1,826.20 / $2,592.53 / $4,652.92	Professional		$1,826.20	$2,592.53	$4,652.92