Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,636.00 / $5,549.00	Facility		$1,159.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,980.06 / $2,311.21 / $4,138.31	Professional		$1,980.06	$2,311.21	$4,138.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,621.67 / $25,333.36 / $50,730.05	Facility		$11,621.67	$25,333.36	$50,730.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,620.64 / $3,139.72 / $3,919.84	Professional		$2,620.64	$3,139.72	$3,919.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,436.71	Facility		$400.00	$785.00	$2,436.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,860.11 / $3,091.61 / $4,683.87	Professional		$1,860.11	$3,091.61	$4,683.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,144.61 / $3,543.18 / $9,069.04	Professional		$2,144.61	$3,543.18	$9,069.04
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 $2,424.34 / $2,777.74 / $3,122.67	Professional		$2,424.34	$2,777.74	$3,122.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,531.01	Professional		$32.34	$32.34	$3,531.01
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 $2,068.91 / $2,840.49 / $4,991.25	Professional		$2,068.91	$2,840.49	$4,991.25