Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,467.37 / $10,000.00	Facility		$1,202.26	$3,467.37	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,715.35	Professional		$1,659.59	$1,949.84	$3,715.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $21,379.62 / $40,738.03	Facility		$7,943.28	$21,379.62	$40,738.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,691.53 / $3,311.31	Professional		$2,238.72	$2,691.53	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $4,073.80	Professional		$1,548.82	$2,454.71	$4,073.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,467.37 / $9,772.37	Professional		$1,949.84	$3,467.37	$9,772.37
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 $2,041.74 / $2,344.23 / $2,630.27	Professional		$2,041.74	$2,344.23	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,570.40	Professional		$32.36	$33.11	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,818.38 / $7,413.10	Facility		$575.44	$2,818.38	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $3,801.89	Professional		$1,698.24	$2,238.72	$3,801.89