Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,464.57 / $9,691.00	Facility		$1,159.00	$3,464.57	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,669.10 / $1,902.20 / $3,464.57	Professional		$1,669.10	$1,902.20	$3,464.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,819.95 / $21,405.92 / $42,865.35	Facility		$9,819.95	$21,405.92	$42,865.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,221.89 / $2,661.99 / $3,323.21	Professional		$2,221.89	$2,661.99	$3,323.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,060.11	Facility		$400.00	$785.00	$2,060.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.14 / $2,616.89 / $3,928.79	Professional		$1,778.14	$2,616.89	$3,928.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,992.65 / $3,079.55 / $8,716.75	Professional		$1,992.65	$3,079.55	$8,716.75
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 $2,045.81 / $2,354.94 / $2,647.54	Professional		$2,045.81	$2,354.94	$2,647.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,993.76	Professional		$32.34	$32.34	$2,993.76
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 $1,777.19 / $2,443.88 / $4,190.35	Professional		$1,777.19	$2,443.88	$4,190.35