Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,863.55 / $5,549.00	Facility		$1,159.00	$2,863.55	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,496.96 / $1,682.47 / $2,863.55	Professional		$1,496.96	$1,682.47	$2,863.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,362.45 / $22,165.68 / $44,386.77	Facility		$10,362.45	$22,165.68	$44,386.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,108.95 / $3,108.95 / $3,108.95	Professional		$3,108.95	$3,108.95	$3,108.95
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 $1,623.47 / $2,156.67 / $3,128.19	Professional		$1,623.47	$2,156.67	$3,128.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,609.26 / $2,541.14 / $6,404.76	Professional		$1,609.26	$2,541.14	$6,404.76
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 $1,776.91 / $1,901.85 / $2,064.67	Professional		$1,776.91	$1,901.85	$2,064.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,382.32	Professional		$32.34	$32.34	$2,382.32
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 $1,608.86 / $2,122.52 / $3,402.61	Professional		$1,608.86	$2,122.52	$3,402.61