Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,088.62 / $5,430.00	Facility		$1,159.00	$3,088.62	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,476.36 / $1,699.89 / $3,088.62	Professional		$1,476.36	$1,699.89	$3,088.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,547.71 / $18,632.64 / $37,311.86	Facility		$8,547.71	$18,632.64	$37,311.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,929.52 / $2,311.71 / $2,892.57	Professional		$1,929.52	$2,311.71	$2,892.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,795.73	Facility		$400.00	$785.00	$1,795.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,577.06 / $2,387.58 / $3,540.94	Professional		$1,577.06	$2,387.58	$3,540.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,742.31 / $2,707.62 / $6,910.10	Professional		$1,742.31	$2,707.62	$6,910.10
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 $1,754.05 / $2,049.78 / $2,299.15	Professional		$1,754.05	$2,049.78	$2,299.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,599.81	Professional		$32.34	$32.34	$2,599.81
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 $1,606.65 / $2,298.44 / $3,794.87	Professional		$1,606.65	$2,298.44	$3,794.87