Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,327.98 / $5,430.00	Facility		$1,159.00	$3,327.98	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,592.24 / $1,873.52 / $3,327.98	Professional		$1,592.24	$1,873.52	$3,327.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,420.81 / $20,535.84 / $41,123.01	Facility		$9,420.81	$20,535.84	$41,123.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,154.35 / $2,547.15 / $3,233.37	Professional		$2,154.35	$2,547.15	$3,233.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,974.88	Facility		$400.00	$785.00	$1,974.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,705.41 / $2,533.32 / $3,746.00	Professional		$1,705.41	$2,533.32	$3,746.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,906.65 / $2,946.64 / $7,337.75	Professional		$1,906.65	$2,946.64	$7,337.75
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 $1,960.71 / $2,253.32 / $2,533.32	Professional		$1,960.71	$2,253.32	$2,533.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,864.60	Professional		$32.34	$32.34	$2,864.60
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 $1,737.11 / $2,386.16 / $4,109.99	Professional		$1,737.11	$2,386.16	$4,109.99