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 $1,872.11 / $2,400.04 / $4,448.81	Professional		$1,872.11	$2,400.04	$4,448.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,303.70 / $30,596.16 / $61,268.81	Facility		$14,303.70	$30,596.16	$61,268.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,014.33 / $3,905.76 / $4,297.62	Professional		$3,014.33	$3,905.76	$4,297.62
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 $2,428.15 / $3,510.10 / $4,730.57	Professional		$2,428.15	$3,510.10	$4,730.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,471.94 / $3,978.12 / $8,852.16	Professional		$2,471.94	$3,978.12	$8,852.16
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 $2,392.85 / $2,921.39 / $3,380.10	Professional		$2,392.85	$2,921.39	$3,380.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,900.12	Professional		$32.34	$32.34	$3,900.12
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 $2,362.87 / $3,442.26 / $6,239.82	Professional		$2,362.87	$3,442.26	$6,239.82