Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,636.00 / $5,549.00	Facility		$1,017.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,017.01 / $2,221.81 / $4,048.78	Professional		$2,017.01	$2,221.81	$4,048.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,172.17 / $24,353.52 / $48,767.92	Facility		$11,172.17	$24,353.52	$48,767.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,483.56 / $2,967.08 / $3,706.06	Professional		$2,483.56	$2,967.08	$3,706.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,429.19	Facility		$400.00	$785.00	$2,429.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,942.74 / $2,995.96 / $4,673.35	Professional		$1,942.74	$2,995.96	$4,673.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,261.67 / $3,473.07 / $11,535.05	Professional		$2,261.67	$3,473.07	$11,535.05
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 $2,556.67 / $2,682.30 / $2,950.97	Professional		$2,556.67	$2,682.30	$2,950.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,336.87	Professional		$32.34	$32.34	$3,336.87
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,136.46 / $2,873.96 / $4,823.68	Professional		$2,136.46	$2,873.96	$4,823.68