Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,601.00 / $5,484.78	Facility		$1,159.00	$3,601.00	$5,484.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,738.68 / $2,028.89 / $3,601.00	Professional		$1,738.68	$2,028.89	$3,601.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,202.08 / $22,238.88 / $44,533.35	Facility		$10,202.08	$22,238.88	$44,533.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,333.89 / $2,759.42 / $3,490.10	Professional		$2,333.89	$2,759.42	$3,490.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,139.92	Facility		$400.00	$785.00	$2,139.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,825.03 / $2,736.43 / $4,098.28	Professional		$1,825.03	$2,736.43	$4,098.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,061.19 / $3,192.24 / $9,208.45	Professional		$2,061.19	$3,192.24	$9,208.45
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 $2,131.34 / $2,441.13 / $2,744.43	Professional		$2,131.34	$2,441.13	$2,744.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,103.32	Professional		$32.34	$32.34	$3,103.32
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 $1,833.72 / $2,559.69 / $4,358.14	Professional		$1,833.72	$2,559.69	$4,358.14