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 $1,827.31 / $2,143.06 / $3,803.47	Professional		$1,827.31	$2,143.06	$3,803.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,776.18 / $23,490.32 / $47,039.36	Facility		$10,776.18	$23,490.32	$47,039.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,437.60 / $2,920.42 / $3,645.56	Professional		$2,437.60	$2,920.42	$3,645.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,258.30	Facility		$400.00	$785.00	$2,258.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,886.69 / $2,859.88 / $4,307.43	Professional		$1,886.69	$2,859.88	$4,307.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,182.60 / $3,378.26 / $8,300.41	Professional		$2,182.60	$3,378.26	$8,300.41
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 $2,232.57 / $2,583.37 / $2,904.56	Professional		$2,232.57	$2,583.37	$2,904.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,284.39	Professional		$32.34	$32.34	$3,284.39
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 $1,939.50 / $2,634.21 / $4,611.95	Professional		$1,939.50	$2,634.21	$4,611.95