Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,780.52 / $5,549.00	Facility		$1,159.00	$2,780.52	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,473.92 / $1,504.16 / $2,780.52	Professional		$1,473.92	$1,504.16	$2,780.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,779.98 / $23,058.80 / $46,175.24	Facility		$10,779.98	$23,058.80	$46,175.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,073.70 / $3,073.70 / $3,073.70	Professional		$3,073.70	$3,073.70	$3,073.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,569.90 / $2,088.34 / $3,008.01	Professional		$1,569.90	$2,088.34	$3,008.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,556.81 / $2,458.75 / $6,889.00	Professional		$1,556.81	$2,458.75	$6,889.00
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 $1,722.41 / $1,839.86 / $1,997.74	Professional		$1,722.41	$1,839.86	$1,997.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,305.08	Professional		$32.34	$32.34	$2,305.08
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,556.58 / $2,148.98 / $3,295.25	Professional		$1,556.58	$2,148.98	$3,295.25