Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,432.99 / $5,430.00	Facility		$1,159.00	$3,432.99	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,638.29 / $1,850.04 / $3,432.99	Professional		$1,638.29	$1,850.04	$3,432.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.90 / $19,882.08 / $39,813.86	Facility		$9,120.90	$19,882.08	$39,813.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,046.76 / $2,452.17 / $3,152.27	Professional		$2,046.76	$2,452.17	$3,152.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,014.84	Facility		$400.00	$785.00	$2,014.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,716.32 / $2,532.66 / $3,888.13	Professional		$1,716.32	$2,532.66	$3,888.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,890.15 / $2,921.14 / $7,923.44	Professional		$1,890.15	$2,921.14	$7,923.44
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 $2,084.96 / $2,233.82 / $2,438.85	Professional		$2,084.96	$2,233.82	$2,438.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,757.78	Professional		$32.34	$32.34	$2,757.78
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 $1,760.42 / $2,469.37 / $4,161.75	Professional		$1,760.42	$2,469.37	$4,161.75