Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,454.00 / $5,549.00	Facility		$1,159.00	$3,454.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,831.62 / $1,863.77 / $3,454.00	Professional		$1,831.62	$1,863.77	$3,454.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,396.15 / $28,654.88 / $57,381.39	Facility		$13,396.15	$28,654.88	$57,381.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,815.37 / $3,815.37 / $3,815.37	Professional		$3,815.37	$3,815.37	$3,815.37
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 $1,851.39 / $2,579.76 / $3,713.41	Professional		$1,851.39	$2,579.76	$3,713.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,932.46 / $3,004.09 / $7,381.59	Professional		$1,932.46	$3,004.09	$7,381.59
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 $2,131.40 / $2,283.81 / $2,478.35	Professional		$2,131.40	$2,283.81	$2,478.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,859.63	Professional		$32.34	$32.34	$2,859.63
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 $1,900.48 / $2,745.95 / $4,941.72	Professional		$1,900.48	$2,745.95	$4,941.72