Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,414.21 / $5,549.00	Facility		$1,159.00	$3,414.21	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,810.86 / $1,912.43 / $3,462.56	Professional		$1,810.86	$1,912.43	$3,462.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,244.34 / $28,330.16 / $56,731.14	Facility		$13,244.34	$28,330.16	$56,731.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,182.27 / $3,509.70 / $3,785.89	Professional		$2,182.27	$3,509.70	$3,785.89
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 $1,922.81 / $2,568.82 / $3,726.90	Professional		$1,922.81	$2,568.82	$3,726.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,917.53 / $3,027.38 / $8,477.24	Professional		$1,917.53	$3,027.38	$8,477.24
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 $2,115.62 / $2,266.17 / $2,459.73	Professional		$2,115.62	$2,266.17	$2,459.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,838.17	Professional		$32.34	$32.34	$2,838.17
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 $1,933.09 / $2,461.73 / $4,058.18	Professional		$1,933.09	$2,461.73	$4,058.18