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 / $7,407.00	Facility		$1,159.00	$3,636.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,704.51 / $2,184.62 / $3,890.54	Professional		$1,704.51	$2,184.62	$3,890.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,019.83 / $27,849.92 / $55,769.46	Facility		$13,019.83	$27,849.92	$55,769.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,745.04 / $3,556.84 / $3,914.49	Professional		$2,745.04	$3,556.84	$3,914.49
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 $2,072.23 / $3,196.52 / $4,312.42	Professional		$2,072.23	$3,196.52	$4,312.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,251.57 / $3,551.70 / $8,052.68	Professional		$2,251.57	$3,551.70	$8,052.68
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 $2,183.60 / $2,660.94 / $3,078.14	Professional		$2,183.60	$2,660.94	$3,078.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,551.70	Professional		$32.34	$32.34	$3,551.70
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 $2,066.13 / $3,120.67 / $5,316.29	Professional		$2,066.13	$3,120.67	$5,316.29