Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,936.67 / $5,549.00	Facility		$1,159.00	$3,936.67	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,128.02 / $2,497.76 / $4,456.62	Professional		$2,128.02	$2,497.76	$4,456.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,559.73 / $27,378.16 / $54,824.76	Facility		$12,559.73	$27,378.16	$54,824.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,840.65 / $3,403.31 / $4,248.16	Professional		$2,840.65	$3,403.31	$4,248.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,631.54	Facility		$400.00	$785.00	$2,631.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,129.13 / $3,335.19 / $5,050.17	Professional		$2,129.13	$3,335.19	$5,050.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,379.92 / $3,823.51 / $11,339.13	Professional		$2,379.92	$3,823.51	$11,339.13
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 $2,596.30 / $3,010.40 / $3,384.84	Professional		$2,596.30	$3,010.40	$3,384.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,827.47	Professional		$32.34	$32.34	$3,827.47
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 $2,262.98 / $3,125.68 / $5,496.46	Professional		$2,262.98	$3,125.68	$5,496.46