Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,275.46 / $5,549.00	Facility		$1,159.00	$3,275.46	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,540.69 / $1,973.87 / $3,521.65	Professional		$1,540.69	$1,973.87	$3,521.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,225.80 / $19,375.72 / $45,073.72	Facility		$4,225.80	$19,375.72	$45,073.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,783.20 / $3,216.04 / $5,380.02	Professional		$2,783.20	$3,216.04	$5,380.02
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 $1,715.93 / $2,890.25 / $3,856.48	Professional		$1,715.93	$2,890.25	$3,856.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,014.86 / $3,211.38 / $7,569.74	Professional		$2,014.86	$3,211.38	$7,569.74
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 $1,983.18 / $2,406.83 / $2,783.20	Professional		$1,983.18	$2,406.83	$2,783.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,211.38	Professional		$32.34	$32.34	$3,211.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,772.73 / $2,691.48 / $4,798.41	Professional		$1,772.73	$2,691.48	$4,798.41