Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,103.30 / $9,691.00	Facility		$1,159.00	$3,103.30	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,525.39 / $1,762.77 / $3,103.30	Professional		$1,525.39	$1,762.77	$3,103.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,968.67 / $19,550.24 / $39,149.35	Facility		$8,968.67	$19,550.24	$39,149.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,029.28 / $2,431.23 / $3,035.18	Professional		$2,029.28	$2,431.23	$3,035.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,882.07	Facility		$400.00	$785.00	$1,882.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,604.51 / $2,389.06 / $3,567.77	Professional		$1,604.51	$2,389.06	$3,567.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.94 / $2,812.63 / $8,095.07	Professional		$1,819.94	$2,812.63	$8,095.07
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 $1,871.90 / $2,150.84 / $2,418.03	Professional		$1,871.90	$2,150.84	$2,418.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,734.23	Professional		$32.34	$32.34	$2,734.23
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 $1,623.07 / $2,198.67 / $3,875.07	Professional		$1,623.07	$2,198.67	$3,875.07