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 $1,651.29 / $2,116.92 / $3,780.95	Professional		$1,651.29	$2,116.92	$3,780.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,616.40 / $26,986.96 / $54,041.38	Facility		$12,616.40	$26,986.96	$54,041.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,661.01 / $3,447.96 / $5,768.01	Professional		$2,661.01	$3,447.96	$5,768.01
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 $2,059.52 / $3,098.68 / $4,247.25	Professional		$2,059.52	$3,098.68	$4,247.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,182.08 / $3,442.98 / $9,183.17	Professional		$2,182.08	$3,442.98	$9,183.17
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 $2,112.60 / $2,578.82 / $2,983.92	Professional		$2,112.60	$2,578.82	$2,983.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,442.98	Professional		$32.34	$32.34	$3,442.98
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 $2,012.64 / $3,026.90 / $5,153.83	Professional		$2,012.64	$3,026.90	$5,153.83