Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,636.00 / $5,549.00	Facility		$1,159.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,090.73 / $2,402.53 / $4,347.85	Professional		$2,090.73	$2,402.53	$4,347.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.90 / $26,334.40 / $52,734.63	Facility		$12,080.90	$26,334.40	$52,734.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,730.18 / $3,270.95 / $4,093.21	Professional		$2,730.18	$3,270.95	$4,093.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,543.44	Facility		$400.00	$785.00	$2,543.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.58 / $3,346.84 / $4,972.32	Professional		$2,187.58	$3,346.84	$4,972.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.35 / $3,793.09 / $10,114.60	Professional		$2,454.35	$3,793.09	$10,114.60
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 $2,500.19 / $2,900.60 / $3,253.20	Professional		$2,500.19	$2,900.60	$3,253.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,678.62	Professional		$32.34	$32.34	$3,678.62
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 $2,273.67 / $3,223.25 / $5,368.41	Professional		$2,273.67	$3,223.25	$5,368.41