Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,636.00 / $5,549.00	Facility		$1,159.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,044.02 / $2,178.46 / $3,803.76	Professional		$2,044.02	$2,178.46	$3,803.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,932.88 / $34,081.04 / $68,247.28	Facility		$15,932.88	$34,081.04	$68,247.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,635.25 / $4,238.22 / $4,414.59	Professional		$2,635.25	$4,238.22	$4,414.59
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 $1,489.31 / $3,084.56 / $4,273.49	Professional		$1,489.31	$3,084.56	$4,273.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,032.69 / $3,353.94 / $8,093.31	Professional		$2,032.69	$3,353.94	$8,093.31
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 $2,349.31 / $2,642.50 / $2,970.32	Professional		$2,349.31	$2,642.50	$2,970.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,427.29	Professional		$32.34	$32.34	$3,427.29
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 $2,028.76 / $2,743.21 / $4,700.76	Professional		$2,028.76	$2,743.21	$4,700.76