Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,856.50 / $5,549.00	Facility		$1,159.00	$2,856.50	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,535.28 / $1,625.78 / $2,856.50	Professional		$1,535.28	$1,625.78	$2,856.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,890.69 / $25,434.64 / $50,932.86	Facility		$11,890.69	$25,434.64	$50,932.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,969.41 / $3,167.37 / $3,299.24	Professional		$1,969.41	$3,167.37	$3,299.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,887.18 / $1,887.18 / $3,045.10	Professional		$1,887.18	$1,887.18	$3,045.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,671.04 / $2,597.71 / $5,833.19	Professional		$1,671.04	$2,597.71	$5,833.19
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 $1,756.82 / $1,974.87 / $2,219.83	Professional		$1,756.82	$1,974.87	$2,219.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,561.34	Professional		$32.34	$32.34	$2,561.34
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 $1,564.52 / $2,377.34 / $3,513.67	Professional		$1,564.52	$2,377.34	$3,513.67