Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,636.00 / $5,549.00	Facility		$1,159.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,840.98 / $2,156.27 / $3,844.63	Professional		$1,840.98	$2,156.27	$3,844.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,842.57 / $23,635.04 / $47,329.16	Facility		$10,842.57	$23,635.04	$47,329.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,481.29 / $2,933.69 / $3,710.10	Professional		$2,481.29	$2,933.69	$3,710.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,270.62	Facility		$400.00	$785.00	$2,270.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,918.48 / $2,891.92 / $4,366.06	Professional		$1,918.48	$2,891.92	$4,366.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,195.78 / $3,393.47 / $8,428.52	Professional		$2,195.78	$3,393.47	$8,428.52
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 $2,248.73 / $2,595.01 / $2,917.76	Professional		$2,248.73	$2,595.01	$2,917.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,299.31	Professional		$32.34	$32.34	$3,299.31
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 $1,983.71 / $2,729.81 / $4,642.33	Professional		$1,983.71	$2,729.81	$4,642.33