Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,223.95 / $5,549.00	Facility		$1,159.00	$3,223.95	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,418.19 / $1,816.38 / $3,223.95	Professional		$1,418.19	$1,816.38	$3,223.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,825.20 / $23,155.52 / $46,368.92	Facility		$10,825.20	$23,155.52	$46,368.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,558.75 / $2,956.68 / $4,946.14	Professional		$2,558.75	$2,956.68	$4,946.14
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 $1,690.44 / $2,657.16 / $3,614.49	Professional		$1,690.44	$2,657.16	$3,614.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,867.03 / $2,903.84 / $9,729.42	Professional		$1,867.03	$2,903.84	$9,729.42
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 $1,831.12 / $2,213.94 / $2,558.75	Professional		$1,831.12	$2,213.94	$2,558.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,952.41	Professional		$32.34	$32.34	$2,952.41
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 $1,760.75 / $2,588.92 / $4,402.04	Professional		$1,760.75	$2,588.92	$4,402.04