Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,114.24 / $5,549.00	Facility		$1,159.00	$3,114.24	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,446.95 / $1,658.61 / $3,249.10	Professional		$1,446.95	$1,658.61	$3,249.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,146.17 / $21,703.04 / $43,460.33	Facility		$10,146.17	$21,703.04	$43,460.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,032.71 / $2,733.68 / $3,227.85	Professional		$2,032.71	$2,733.68	$3,227.85
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 $1,625.35 / $2,436.82 / $3,536.49	Professional		$1,625.35	$2,436.82	$3,536.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,787.01 / $2,842.96 / $8,509.04	Professional		$1,787.01	$2,842.96	$8,509.04
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 $1,925.09 / $2,111.92 / $2,324.62	Professional		$1,925.09	$2,111.92	$2,324.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,682.26	Professional		$32.34	$32.34	$2,682.26
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 $1,760.35 / $2,464.59 / $4,020.88	Professional		$1,760.35	$2,464.59	$4,020.88