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 $1,712.06 / $2,194.09 / $3,905.39	Professional		$1,712.06	$2,194.09	$3,905.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,076.27 / $27,970.64 / $56,011.20	Facility		$13,076.27	$27,970.64	$56,011.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,756.95 / $3,572.28 / $5,975.97	Professional		$2,756.95	$3,572.28	$5,975.97
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 $2,092.80 / $3,210.40 / $4,385.07	Professional		$2,092.80	$3,210.40	$4,385.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,261.71 / $3,563.44 / $8,085.24	Professional		$2,261.71	$3,563.44	$8,085.24
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 $2,196.69 / $2,672.94 / $3,091.49	Professional		$2,196.69	$2,672.94	$3,091.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,567.11	Professional		$32.34	$32.34	$3,567.11
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 $2,083.35 / $3,284.34 / $5,695.47	Professional		$2,083.35	$3,284.34	$5,695.47