Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,636.00 / $5,549.00	Facility		$1,159.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,724.02 / $2,209.62 / $3,945.02	Professional		$1,724.02	$2,209.62	$3,945.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,168.87 / $28,168.72 / $56,407.86	Facility		$13,168.87	$28,168.72	$56,407.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,776.28 / $3,597.32 / $4,251.04	Professional		$2,776.28	$3,597.32	$4,251.04
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 $2,103.02 / $3,232.91 / $4,430.17	Professional		$2,103.02	$3,232.91	$4,430.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,277.39 / $3,573.57 / $8,168.45	Professional		$2,277.39	$3,573.57	$8,168.45
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 $2,210.96 / $2,691.46 / $3,113.18	Professional		$2,210.96	$2,691.46	$3,113.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,592.13	Professional		$32.34	$32.34	$3,592.13
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 $2,126.69 / $3,165.07 / $5,887.54	Professional		$2,126.69	$3,165.07	$5,887.54