Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,590.86 / $5,549.00	Facility		$1,159.00	$3,590.86	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,904.68 / $1,942.14 / $3,590.86	Professional		$1,904.68	$1,942.14	$3,590.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,930.49 / $29,797.84 / $59,670.17	Facility		$13,930.49	$29,797.84	$59,670.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,983.69 / $3,983.69 / $3,983.69	Professional		$3,983.69	$3,983.69	$3,983.69
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 $1,904.89 / $2,688.34 / $3,868.54	Professional		$1,904.89	$2,688.34	$3,868.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,017.71 / $3,131.41 / $7,678.59	Professional		$2,017.71	$3,131.41	$7,678.59
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 $2,227.13 / $2,384.56 / $2,588.77	Professional		$2,227.13	$2,384.56	$2,588.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,987.04	Professional		$32.34	$32.34	$2,987.04
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 $1,976.27 / $2,666.85 / $4,268.39	Professional		$1,976.27	$2,666.85	$4,268.39