Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,883.04 / $5,549.00	Facility		$1,159.00	$3,883.04	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,018.57 / $2,424.48 / $4,241.42	Professional		$2,018.57	$2,424.48	$4,241.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,360.67 / $26,944.24 / $53,955.84	Facility		$12,360.67	$26,944.24	$53,955.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,801.58 / $3,356.49 / $4,190.29	Professional		$2,801.58	$3,356.49	$4,190.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,598.36	Facility		$400.00	$785.00	$2,598.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,052.44 / $3,265.65 / $4,811.89	Professional		$2,052.44	$3,265.65	$4,811.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,424.32 / $3,796.55 / $8,647.04	Professional		$2,424.32	$3,796.55	$8,647.04
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 $2,607.41 / $2,969.38 / $3,338.27	Professional		$2,607.41	$2,969.38	$3,338.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,774.81	Professional		$32.34	$32.34	$3,774.81
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 $2,152.82 / $2,905.15 / $5,262.66	Professional		$2,152.82	$2,905.15	$5,262.66