Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,629.44 / $5,505.01	Facility		$1,159.00	$3,629.44	$5,505.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,735.70 / $2,033.37 / $3,629.44	Professional		$1,735.70	$2,033.37	$3,629.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,224.62 / $22,288.00 / $44,631.72	Facility		$10,224.62	$22,288.00	$44,631.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,342.65 / $2,769.78 / $3,502.99	Professional		$2,342.65	$2,769.78	$3,502.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,142.85	Facility		$400.00	$785.00	$2,142.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,609.54 / $2,712.36 / $4,085.11	Professional		$1,609.54	$2,712.36	$4,085.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,015.97 / $3,135.50 / $5,310.59	Professional		$2,015.97	$3,135.50	$5,310.59
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 $2,122.02 / $2,450.14 / $2,754.74	Professional		$2,122.02	$2,450.14	$2,754.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,114.97	Professional		$32.34	$32.34	$3,114.97
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 $1,825.93 / $2,524.60 / $4,381.81	Professional		$1,825.93	$2,524.60	$4,381.81