Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,497.02 / $5,430.00	Facility		$1,159.00	$3,497.02	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,675.04 / $1,962.39 / $3,497.02	Professional		$1,675.04	$1,962.39	$3,497.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,867.70 / $21,510.00 / $43,073.77	Facility		$9,867.70	$21,510.00	$43,073.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,232.66 / $2,674.89 / $3,338.97	Professional		$2,232.66	$2,674.89	$3,338.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,068.42	Facility		$400.00	$785.00	$2,068.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,784.20 / $2,647.78 / $3,966.61	Professional		$1,784.20	$2,647.78	$3,966.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,002.10 / $3,094.15 / $7,684.38	Professional		$2,002.10	$3,094.15	$7,684.38
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 $2,049.88 / $2,366.12 / $2,660.36	Professional		$2,049.88	$2,366.12	$2,660.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,008.25	Professional		$32.34	$32.34	$3,008.25
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 $1,800.25 / $2,477.83 / $4,604.67	Professional		$1,800.25	$2,477.83	$4,604.67