Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,989.00 / $5,549.00	Facility		$1,017.00	$2,989.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $2,186.25	Professional		$1,987.50	$1,987.50	$2,186.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,158.48 / $19,964.00 / $39,977.91	Facility		$9,158.48	$19,964.00	$39,977.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.41 / $2,445.75 / $3,158.80	Professional		$2,041.41	$2,445.75	$3,158.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $587.00 / $908.00	Facility		$400.00	$587.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.00 / $2,936.69 / $8,679.83	Professional		$371.00	$2,936.69	$8,679.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,964.70 / $2,904.43 / $14,578.91	Professional		$1,964.70	$2,904.43	$14,578.91
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 $2,096.50 / $2,238.42 / $2,432.48	Professional		$2,096.50	$2,238.42	$2,432.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,020.53 / $1,048.84 / $2,500.00	Professional		$1,020.53	$1,048.84	$2,500.00
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 $12,235.00 / $12,235.00 / $12,235.00	Professional		$12,235.00	$12,235.00	$12,235.00