Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,339.51 / $5,549.00	Facility		$1,159.00	$3,339.51	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,745.33 / $1,961.58 / $3,339.51	Professional		$1,745.33	$1,961.58	$3,339.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,081.47 / $25,842.72 / $51,750.04	Facility		$12,081.47	$25,842.72	$51,750.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,927.99 / $3,273.64 / $3,622.04	Professional		$1,927.99	$3,273.64	$3,622.04
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 $1,829.85 / $2,512.17 / $3,666.58	Professional		$1,829.85	$2,512.17	$3,666.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,874.84 / $2,914.52 / $7,435.84	Professional		$1,874.84	$2,914.52	$7,435.84
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 $2,069.55 / $2,215.71 / $2,404.94	Professional		$2,069.55	$2,215.71	$2,404.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,774.93	Professional		$32.34	$32.34	$2,774.93
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 $1,837.68 / $2,558.19 / $4,644.24	Professional		$1,837.68	$2,558.19	$4,644.24