Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,926.20 / $5,549.00	Facility		$1,159.00	$3,926.20	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,124.35 / $2,491.84 / $4,447.01	Professional		$2,124.35	$2,491.84	$4,447.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,530.00 / $27,313.36 / $54,695.00	Facility		$12,530.00	$27,313.36	$54,695.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,871.07 / $3,394.54 / $4,292.55	Professional		$2,871.07	$3,394.54	$4,292.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,624.83	Facility		$400.00	$785.00	$2,624.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,979.39 / $3,347.50 / $5,040.00	Professional		$1,979.39	$3,347.50	$5,040.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,520.90 / $3,920.83 / $9,698.26	Professional		$2,520.90	$3,920.83	$9,698.26
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 $2,591.89 / $3,002.39 / $3,376.11	Professional		$2,591.89	$3,002.39	$3,376.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,817.60	Professional		$32.34	$32.34	$3,817.60
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 $2,240.00 / $3,090.11 / $5,360.25	Professional		$2,240.00	$3,090.11	$5,360.25