Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,054.62 / $5,430.00	Facility		$1,159.00	$3,054.62	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,476.74 / $1,725.78 / $3,046.67	Professional		$1,476.74	$1,725.78	$3,046.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,677.93 / $18,916.48 / $37,880.25	Facility		$8,677.93	$18,916.48	$37,880.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,963.68 / $2,352.64 / $2,937.16	Professional		$1,963.68	$2,352.64	$2,937.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,821.35	Facility		$400.00	$785.00	$1,821.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,573.10 / $2,359.65 / $3,470.95	Professional		$1,573.10	$2,359.65	$3,470.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,761.17 / $2,721.80 / $6,783.88	Professional		$1,761.17	$2,721.80	$6,783.88
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 $1,813.33 / $2,081.38 / $2,339.87	Professional		$1,813.33	$2,081.38	$2,339.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,645.85	Professional		$32.34	$32.34	$2,645.85
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 $1,548.79 / $2,160.35 / $3,812.08	Professional		$1,548.79	$2,160.35	$3,812.08