Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,289.59 / $5,549.00	Facility		$1,159.00	$3,289.59	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,447.88 / $1,854.11 / $3,289.59	Professional		$1,447.88	$1,854.11	$3,289.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,050.09 / $23,636.56 / $47,332.21	Facility		$11,050.09	$23,636.56	$47,332.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,330.26 / $3,019.40 / $3,326.63	Professional		$2,330.26	$3,019.40	$3,326.63
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 $1,815.18 / $2,713.53 / $3,688.08	Professional		$1,815.18	$2,713.53	$3,688.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,913.44 / $3,015.03 / $7,634.86	Professional		$1,913.44	$3,015.03	$7,634.86
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 $1,874.12 / $2,261.34 / $2,613.03	Professional		$1,874.12	$2,261.34	$2,613.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,015.03	Professional		$32.34	$32.34	$3,015.03
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 $1,804.19 / $2,649.14 / $4,493.93	Professional		$1,804.19	$2,649.14	$4,493.93