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 / $5,922.12	Facility		$1,129.00	$3,270.00	$5,922.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,749.94 / $2,093.65 / $3,292.01	Professional		$1,749.94	$2,093.65	$3,292.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,266.26 / $19,820.88 / $39,691.31	Facility		$9,266.26	$19,820.88	$39,691.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,104.92 / $2,494.07 / $2,901.79	Professional		$2,104.92	$2,494.07	$2,901.79
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 $1,711.14 / $2,587.64 / $4,250.18	Professional		$1,711.14	$2,587.64	$4,250.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,730.45 / $2,763.14 / $6,921.02	Professional		$1,730.45	$2,763.14	$6,921.02
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 $1,826.98 / $2,177.02 / $2,442.96	Professional		$1,826.98	$2,177.02	$2,442.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,762.44	Professional		$32.34	$32.34	$2,762.44
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 $1,857.17 / $2,616.66 / $4,468.35	Professional		$1,857.17	$2,616.66	$4,468.35