Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,548.13 / $8,511.38	Facility		$1,148.15	$3,548.13	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,890.45	Professional		$1,659.59	$1,949.84	$3,890.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $20,417.38 / $38,904.51	Facility		$7,585.78	$20,417.38	$38,904.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $3,235.94	Professional		$2,089.30	$2,511.89	$3,235.94
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 $1,513.56 / $2,511.89 / $4,168.69	Professional		$1,513.56	$2,511.89	$4,168.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,311.31 / $10,232.93	Professional		$1,949.84	$3,311.31	$10,232.93
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 $2,137.96 / $2,290.87 / $2,511.89	Professional		$2,137.96	$2,290.87	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,344.23	Professional		$32.36	$33.11	$2,344.23
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 $1,737.80 / $2,344.23 / $3,890.45	Professional		$1,737.80	$2,344.23	$3,890.45