Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,636.00 / $5,549.00	Facility		$1,159.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,801.69 / $2,105.82 / $3,657.95	Professional		$1,801.69	$2,105.82	$3,657.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,728.25 / $23,385.84 / $46,830.14	Facility		$10,728.25	$23,385.84	$46,830.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,066.03 / $2,475.25 / $3,932.46	Professional		$2,066.03	$2,475.25	$3,932.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,256.13	Facility		$400.00	$785.00	$2,256.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,783.85 / $2,851.69 / $4,160.97	Professional		$1,783.85	$2,851.69	$4,160.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,011.17 / $3,313.99 / $7,499.76	Professional		$2,011.17	$3,313.99	$7,499.76
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 $2,273.48 / $2,576.69 / $2,896.26	Professional		$2,273.48	$2,576.69	$2,896.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,275.00	Professional		$32.34	$32.34	$3,275.00
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,800.00 / $6,291.00	Facility		$785.00	$2,800.00	$6,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,866.99 / $2,518.48 / $4,542.70	Professional		$1,866.99	$2,518.48	$4,542.70