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 $1,850.06 / $2,371.76 / $4,222.01	Professional		$1,850.06	$2,371.76	$4,222.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,135.18 / $30,235.68 / $60,546.94	Facility		$14,135.18	$30,235.68	$60,546.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,979.52 / $3,860.66 / $4,247.97	Professional		$2,979.52	$3,860.66	$4,247.97
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 $2,261.85 / $3,469.57 / $4,745.77	Professional		$2,261.85	$3,469.57	$4,745.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,443.39 / $3,855.08 / $11,026.32	Professional		$2,443.39	$3,855.08	$11,026.32
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 $2,366.91 / $2,887.64 / $3,341.07	Professional		$2,366.91	$2,887.64	$3,341.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,855.08	Professional		$32.34	$32.34	$3,855.08
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 $2,241.16 / $3,384.45 / $5,768.33	Professional		$2,241.16	$3,384.45	$5,768.33