Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,200.00 / $5,549.00	Facility		$1,159.00	$4,200.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,274.73 / $2,666.86 / $4,747.08	Professional		$2,274.73	$2,666.86	$4,747.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,410.06 / $29,231.76 / $58,536.59	Facility		$13,410.06	$29,231.76	$58,536.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,034.88 / $3,636.00 / $4,538.52	Professional		$3,034.88	$3,636.00	$4,538.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,810.59	Facility		$400.00	$785.00	$2,810.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,288.96 / $3,616.26 / $5,403.89	Professional		$2,288.96	$3,616.26	$5,403.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,642.65 / $4,172.60 / $10,262.42	Professional		$2,642.65	$4,172.60	$10,262.42
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 $2,780.84 / $3,216.16 / $3,616.26	Professional		$2,780.84	$3,216.16	$3,616.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,089.16	Professional		$32.34	$32.34	$4,089.16
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 $2,427.60 / $3,365.76 / $5,858.03	Professional		$2,427.60	$3,365.76	$5,858.03