Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,679.21 / $5,549.00	Facility		$1,159.00	$3,679.21	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,965.91 / $2,329.17 / $4,094.57	Professional		$1,965.91	$2,329.17	$4,094.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,712.03 / $25,530.32 / $51,124.46	Facility		$11,712.03	$25,530.32	$51,124.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,654.31 / $3,180.06 / $3,970.33	Professional		$2,654.31	$3,180.06	$3,970.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,462.84	Facility		$400.00	$785.00	$2,462.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,946.72 / $3,128.98 / $4,670.85	Professional		$1,946.72	$3,128.98	$4,670.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,240.55 / $3,599.86 / $9,016.29	Professional		$2,240.55	$3,599.86	$9,016.29
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 $2,475.77 / $2,813.51 / $3,162.80	Professional		$2,475.77	$2,813.51	$3,162.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,576.39	Professional		$32.34	$32.34	$3,576.39
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 $2,058.87 / $2,831.23 / $4,963.47	Professional		$2,058.87	$2,831.23	$4,963.47