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 $1,612.40 / $2,072.56 / $3,683.11	Professional		$1,612.40	$2,072.56	$3,683.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,351.94 / $26,421.28 / $52,908.61	Facility		$12,351.94	$26,421.28	$52,908.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,919.07 / $3,373.03 / $5,642.66	Professional		$2,919.07	$3,373.03	$5,642.66
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 $1,852.48 / $3,030.01 / $4,131.22	Professional		$1,852.48	$3,030.01	$4,131.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,021.71 / $3,204.63 / $9,005.91	Professional		$2,021.71	$3,204.63	$9,005.91
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 $2,082.42 / $2,524.86 / $2,919.07	Professional		$2,082.42	$2,524.86	$2,919.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,368.16	Professional		$32.34	$32.34	$3,368.16
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 $1,957.50 / $2,957.63 / $4,455.10	Professional		$1,957.50	$2,957.63	$4,455.10