Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,652.70 / $5,549.00	Facility		$1,159.00	$3,652.70	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,981.74 / $2,320.79 / $4,142.37	Professional		$1,981.74	$2,320.79	$4,142.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,669.86 / $25,438.40 / $50,940.39	Facility		$11,669.86	$25,438.40	$50,940.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,635.70 / $3,157.76 / $3,941.72	Professional		$2,635.70	$3,157.76	$3,941.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,445.40	Facility		$400.00	$785.00	$2,445.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,875.23 / $3,116.47 / $4,697.20	Professional		$1,875.23	$3,116.47	$4,697.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,363.52 / $3,652.71 / $9,059.62	Professional		$2,363.52	$3,652.71	$9,059.62
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 $2,419.77 / $2,793.25 / $3,140.62	Professional		$2,419.77	$2,793.25	$3,140.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,551.31	Professional		$32.34	$32.34	$3,551.31
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 $2,072.54 / $2,864.94 / $5,006.28	Professional		$2,072.54	$2,864.94	$5,006.28