Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,232.73 / $5,549.00	Facility		$1,159.00	$3,232.73	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,438.28 / $1,728.20 / $3,250.73	Professional		$1,438.28	$1,728.20	$3,250.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,572.15 / $22,614.24 / $45,285.01	Facility		$10,572.15	$22,614.24	$45,285.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,056.91 / $2,830.04 / $3,159.32	Professional		$2,056.91	$2,830.04	$3,159.32
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 $1,807.94 / $2,479.07 / $3,672.27	Professional		$1,807.94	$2,479.07	$3,672.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,800.04 / $2,809.62 / $8,145.83	Professional		$1,800.04	$2,809.62	$8,145.83
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 $1,795.94 / $2,127.32 / $2,387.26	Professional		$1,795.94	$2,127.32	$2,387.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,754.53	Professional		$32.34	$32.34	$2,754.53
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,715.97 / $2,400.55 / $3,903.09	Professional		$1,715.97	$2,400.55	$3,903.09