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 $1,735.13 / $2,224.66 / $3,987.61	Professional		$1,735.13	$2,224.66	$3,987.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,258.48 / $28,360.40 / $56,791.70	Facility		$13,258.48	$28,360.40	$56,791.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,796.35 / $3,623.32 / $3,986.15	Professional		$2,796.35	$3,623.32	$3,986.15
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 $1,959.45 / $3,256.27 / $4,328.77	Professional		$1,959.45	$3,256.27	$4,328.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,237.96 / $3,480.76 / $8,607.98	Professional		$2,237.96	$3,480.76	$8,607.98
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 $2,216.53 / $2,709.66 / $3,135.67	Professional		$2,216.53	$2,709.66	$3,135.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,618.08	Professional		$32.34	$32.34	$3,618.08
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 $2,008.41 / $3,080.64 / $4,838.13	Professional		$2,008.41	$3,080.64	$4,838.13