Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,880.00 / $5,405.00	Facility		$1,061.00	$2,880.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,497.29 / $1,718.60 / $3,349.52	Professional		$1,497.29	$1,718.60	$3,349.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,513.14 / $22,488.00 / $45,032.22	Facility		$10,513.14	$22,488.00	$45,032.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,124.38 / $2,856.96 / $3,369.33	Professional		$2,124.38	$2,856.96	$3,369.33
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 $1,694.25 / $2,522.89 / $3,568.38	Professional		$1,694.25	$2,522.89	$3,568.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,865.33 / $2,859.28 / $6,966.80	Professional		$1,865.33	$2,859.28	$6,966.80
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 $2,030.99 / $2,204.48 / $2,429.44	Professional		$2,030.99	$2,204.48	$2,429.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,803.22	Professional		$32.34	$32.34	$2,803.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,724.39 / $2,349.14 / $4,022.17	Professional		$1,724.39	$2,349.14	$4,022.17