Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,342.82 / $5,549.00	Facility		$1,159.00	$3,342.82	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,468.23 / $1,880.83 / $3,342.82	Professional		$1,468.23	$1,880.83	$3,342.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,209.30 / $23,977.12 / $48,014.18	Facility		$11,209.30	$23,977.12	$48,014.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,365.11 / $3,064.56 / $3,374.03	Professional		$2,365.11	$3,064.56	$3,374.03
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 $1,653.82 / $2,754.11 / $3,675.15	Professional		$1,653.82	$2,754.11	$3,675.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,867.70 / $2,911.05 / $6,960.18	Professional		$1,867.70	$2,911.05	$6,960.18
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 $1,890.32 / $2,293.55 / $2,652.10	Professional		$1,890.32	$2,293.55	$2,652.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,060.12	Professional		$32.34	$32.34	$3,060.12
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 $1,761.76 / $2,567.48 / $4,069.38	Professional		$1,761.76	$2,567.48	$4,069.38