Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,832.62 / $5,549.00	Facility		$1,159.00	$2,832.62	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.13 / $1,584.64 / $2,832.62	Professional		$1,237.13	$1,584.64	$2,832.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,444.09 / $20,201.28 / $40,453.06	Facility		$9,444.09	$20,201.28	$40,453.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,992.51 / $2,581.77 / $2,843.57	Professional		$1,992.51	$2,581.77	$2,843.57
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 $1,490.27 / $2,320.23 / $3,174.64	Professional		$1,490.27	$2,320.23	$3,174.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,635.59 / $2,575.03 / $7,441.32	Professional		$1,635.59	$2,575.03	$7,441.32
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 $1,597.78 / $1,932.97 / $2,234.30	Professional		$1,597.78	$1,932.97	$2,234.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,578.04	Professional		$32.34	$32.34	$2,578.04
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 $1,521.66 / $2,271.83 / $3,508.57	Professional		$1,521.66	$2,271.83	$3,508.57