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 $1,811.30 / $2,321.71 / $4,135.03	Professional		$1,811.30	$2,321.71	$4,135.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,836.87 / $29,597.60 / $59,269.19	Facility		$13,836.87	$29,597.60	$59,269.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,916.20 / $3,778.61 / $4,158.45	Professional		$2,916.20	$3,778.61	$4,158.45
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 $2,243.89 / $3,395.83 / $4,525.50	Professional		$2,243.89	$3,395.83	$4,525.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,391.90 / $3,773.15 / $11,483.94	Professional		$2,391.90	$3,773.15	$11,483.94
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 $2,319.08 / $2,826.79 / $3,270.06	Professional		$2,319.08	$2,826.79	$3,270.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,773.15	Professional		$32.34	$32.34	$3,773.15
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 $2,247.94 / $3,305.72 / $5,035.72	Professional		$2,247.94	$3,305.72	$5,035.72