Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,108.75 / $5,549.00	Facility		$1,159.00	$3,108.75	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,633.05 / $1,935.28 / $3,398.75	Professional		$1,633.05	$1,935.28	$3,398.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,838.63 / $25,323.28 / $50,709.86	Facility		$11,838.63	$25,323.28	$50,709.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,099.89 / $3,208.40 / $3,670.39	Professional		$2,099.89	$3,208.40	$3,670.39
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 $1,764.95 / $2,833.24 / $3,818.08	Professional		$1,764.95	$2,833.24	$3,818.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,032.00 / $3,148.05 / $7,593.28	Professional		$2,032.00	$3,148.05	$7,593.28
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 $2,030.87 / $2,401.44 / $2,728.31	Professional		$2,030.87	$2,401.44	$2,728.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,148.05	Professional		$32.34	$32.34	$3,148.05
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 $1,850.81 / $2,539.61 / $4,284.22	Professional		$1,850.81	$2,539.61	$4,284.22