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 $1,826.93 / $2,341.85 / $4,182.87	Professional		$1,826.93	$2,341.85	$4,182.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,956.89 / $29,854.32 / $59,783.27	Facility		$13,956.89	$29,854.32	$59,783.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,941.97 / $3,812.01 / $4,194.83	Professional		$2,941.97	$3,812.01	$4,194.83
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 $2,221.98 / $3,425.85 / $4,622.09	Professional		$2,221.98	$3,425.85	$4,622.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,412.82 / $3,780.95 / $10,006.17	Professional		$2,412.82	$3,780.95	$10,006.17
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 $2,338.31 / $2,851.51 / $3,298.97	Professional		$2,338.31	$2,851.51	$3,298.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,806.51	Professional		$32.34	$32.34	$3,806.51
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 $2,217.35 / $3,208.58 / $5,705.68	Professional		$2,217.35	$3,208.58	$5,705.68