Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,696.79 / $5,549.00	Facility		$1,159.00	$3,696.79	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,012.09 / $2,349.90 / $4,203.22	Professional		$2,012.09	$2,349.90	$4,203.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,816.22 / $25,757.44 / $51,579.27	Facility		$11,816.22	$25,757.44	$51,579.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,667.28 / $3,195.60 / $3,989.28	Professional		$2,667.28	$3,195.60	$3,989.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,477.98	Facility		$400.00	$785.00	$2,477.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,140.84 / $3,217.66 / $4,761.20	Professional		$2,140.84	$3,217.66	$4,761.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,392.04 / $3,791.54 / $9,348.25	Professional		$2,392.04	$3,791.54	$9,348.25
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 $2,464.50 / $2,826.95 / $3,178.25	Professional		$2,464.50	$2,826.95	$3,178.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,593.87	Professional		$32.34	$32.34	$3,593.87
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 $2,132.89 / $2,892.33 / $5,071.18	Professional		$2,132.89	$2,892.33	$5,071.18