Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,340.24 / $5,549.00	Facility		$1,159.00	$3,340.24	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,598.04 / $1,884.63 / $3,340.24	Professional		$1,598.04	$1,884.63	$3,340.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,476.67 / $20,657.59 / $41,366.83	Facility		$9,476.67	$20,657.59	$41,366.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,567.16 / $2,567.16 / $6,070.96	Professional		$2,567.16	$2,567.16	$6,070.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,988.99	Facility		$400.00	$785.00	$1,988.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,717.19 / $2,541.86 / $3,786.14	Professional		$1,717.19	$2,541.86	$3,786.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,921.90 / $2,970.21 / $7,356.59	Professional		$1,921.90	$2,970.21	$7,356.59
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 $1,975.60 / $2,271.33 / $2,553.23	Professional		$1,975.60	$2,271.33	$2,553.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,887.11	Professional		$32.34	$32.34	$2,887.11
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 $1,688.23 / $2,369.92 / $4,055.11	Professional		$1,688.23	$2,369.92	$4,055.11