Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,123.04 / $5,549.00	Facility		$1,159.00	$3,123.04	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,655.42 / $1,749.65 / $3,166.36	Professional		$1,655.42	$1,749.65	$3,166.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,107.42 / $25,898.24 / $51,861.22	Facility		$12,107.42	$25,898.24	$51,861.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.59 / $3,209.48 / $3,461.48	Professional		$1,995.59	$3,209.48	$3,461.48
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 $1,752.49 / $2,349.75 / $3,428.78	Professional		$1,752.49	$2,349.75	$3,428.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,753.21 / $2,768.40 / $7,765.52	Professional		$1,753.21	$2,768.40	$7,765.52
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 $1,936.13 / $2,071.98 / $2,249.33	Professional		$1,936.13	$2,071.98	$2,249.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,595.38	Professional		$32.34	$32.34	$2,595.38
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 $1,780.44 / $2,453.48 / $3,741.82	Professional		$1,780.44	$2,453.48	$3,741.82