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 $1,869.53 / $2,396.53 / $4,268.62	Professional		$1,869.53	$2,396.53	$4,268.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,282.79 / $30,551.44 / $61,179.25	Facility		$14,282.79	$30,551.44	$61,179.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,102.88 / $3,479.39 / $6,529.90	Professional		$3,102.88	$3,479.39	$6,529.90
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 $2,345.40 / $3,507.98 / $4,668.60	Professional		$2,345.40	$3,507.98	$4,668.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,470.26 / $3,897.75 / $11,145.70	Professional		$2,470.26	$3,897.75	$11,145.70
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 $2,391.94 / $2,919.40 / $3,378.05	Professional		$2,391.94	$2,919.40	$3,378.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,897.75	Professional		$32.34	$32.34	$3,897.75
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 $2,348.98 / $3,431.30 / $5,158.46	Professional		$2,348.98	$3,431.30	$5,158.46