Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,109.01 / $5,549.00	Facility		$1,159.00	$3,109.01	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,649.57 / $1,681.18 / $3,109.01	Professional		$1,649.57	$1,681.18	$3,109.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,064.67 / $25,806.80 / $51,678.11	Facility		$12,064.67	$25,806.80	$51,678.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,831.04 / $3,196.60 / $3,447.90	Professional		$1,831.04	$3,196.60	$3,447.90
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 $1,762.22 / $2,340.01 / $3,397.26	Professional		$1,762.22	$2,340.01	$3,397.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,746.34 / $2,757.31 / $8,470.00	Professional		$1,746.34	$2,757.31	$8,470.00
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 $1,927.64 / $2,063.85 / $2,240.32	Professional		$1,927.64	$2,063.85	$2,240.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,584.98	Professional		$32.34	$32.34	$2,584.98
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 $1,753.59 / $2,408.07 / $3,695.67	Professional		$1,753.59	$2,408.07	$3,695.67